MS. CHALICE ANN ADDIS (NPI# 1306359146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306359146 |
| Entity Type | Individual |
| Full Name | MS. CHALICE ANN ADDIS |
| Credential | FNP-BC |
| Practice Address |
141 Sandcastle Aliso Viejo CA 92656-3817 |
| Mailing Address |
23181 Verdugo Dr Laguna Hills CA 92653-1357 |
| Practice Telephone | 9496370733 |
| Mailing Telephone | 9493661053 |
| Mailing Fax Number | 9499167710 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95007969 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
141 SANDCASTLE |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700378981 | Neha Kapoor | Nurse Practitioner | 23637 Los Grandes St, Aliso Viejo, CA 92656-1123 | 2018-06-04 |
| 1669960076 | Nicko Michelle Jaeger | Nurse Practitioner | 30 Iron Bark, Aliso Viejo, CA 92656-2169 | 2018-05-01 |
| 1134524663 | Sean R Thomas M D Inc | Nurse Practitioner | 11 Mareblu Ste 210, Aliso Viejo, CA 92656-3044 | 2014-10-27 |
| 1538481692 | Diana Lam-wong | Nurse Practitioner | 1 University Dr., Student Health Services, Aliso Viejo, CA 92656-4105 | 2010-02-17 |
| 1245467992 | Mary Lou Lao David | Nurse Practitioner | 22 Bluff Cove Dr, Aliso Viejo, CA 92656-8077 | 2009-06-19 |
| 1760017479 | Frederick Perez | Nurse Practitioner | 26831 Aliso Creek Rd, Aliso Viejo, CA 92656-5341 | 2020-03-03 |
| 1558845263 | Sarah Harpst | Nurse Practitioner | 5 Journey Ste 130, Aliso Viejo, CA 92656-5330 | 2018-09-18 |
| 1841792017 | Kiersten Griffin | Nurse Practitioner | 26891 Aliso Creek Rd, Aliso Viejo, CA 92656 | 2018-03-05 |
| 1972055945 | Deeba Freshta Kazempoor | Nurse Practitioner | 26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392 | 2016-10-26 |
| 1013360106 | Larissa Todd | Nurse Practitioner | 26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392 | 2016-07-13 |
| Find all providers in ALISO VIEJO | ||||
| City | ALISO VIEJO |
| Zip Code | 92656 |
Please comment or provide details below to improve the information on MS. CHALICE ANN ADDIS.
| 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.