KATHRYN TISH GRIFO (NPI# 1245560747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245560747 |
| Entity Type | Individual |
| Full Name | KATHRYN TISH GRIFO |
| Practice Address |
40 Penny Ln Watsonville CA 95076-6008 |
| Practice Telephone | 8317680412 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21414 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9209384 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40 PENNY LN |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140189 | Satellite Healthcare Inc | Clinic/Center | 40 Penny Ln, Ste 1, Watsonville, CA 95076-6008 | 2006-01-31 |
| 1588921761 | Healthstat On-site Clinic/reiter Watsonville | Preventive Medicine | 40 Penny Ln, Suite 1, Watsonville, CA 95076-6008 | 2012-04-12 |
| 1073726006 | J.v.reddy, D.d.s,inc. | Dentist | 40 Penny Ln, Watsonville, CA 95076-6008 | 2007-05-07 |
| 1184797136 | Amanda Villareal | Registered Nurse | 40 Penny Ln, Watsonville, CA 95076-6008 | 2006-11-16 |
| 1588754634 | Julie M Wooten | Nurse Practitioner | 40 Penny Ln, Watsonville, CA 95076-6008 | 2006-10-12 |
| 1033130810 | Manuel Chavez | Nurse Practitioner | 40 Penny Ln, Watsonville, CA 95076-6008 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321164 | Marcio Melo | Nurse Practitioner | 1430 Freedom Blvd Ste D, Watsonville, CA 95076-2752 | 2019-11-20 |
| 1518522994 | Maria C Tamasi | Nurse Practitioner | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2019-05-01 |
| 1356847149 | Yessica Flores Escobar | Nurse Practitioner | 550 S Green Valley Rd, Watsonville, CA 95076-3053 | 2018-04-02 |
| 1700256054 | Sara Pfender | Nurse Practitioner | 204 E Beach St, Watsonville, CA 95076-4809 | 2015-09-29 |
| 1891117388 | Evelyn Chin | Nurse Practitioner | 30 Brennan St, Watsonville, CA 95076-4303 | 2014-01-17 |
| 1649539701 | Leah Yurek | Nurse Practitioner | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2012-05-10 |
| 1588754634 | Julie M Wooten | Nurse Practitioner | 40 Penny Ln, Watsonville, CA 95076-6008 | 2006-10-12 |
| 1245343599 | Cayley Martin Lanctot | Nurse Practitioner | 204 E Beach St, Watsonville, CA 95076-4809 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on KATHRYN TISH GRIFO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.