JAMIE WATERMAN (NPI# 1326584905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326584905 |
| Entity Type | Individual |
| Full Name | JAMIE WATERMAN |
| Credential | ATC, EMT |
| Practice Address |
675 Sir Francis Drake Blvd Kentfield CA 94901 |
| Mailing Address |
1788 Alan Dr Penngrove CA 94951 |
| Practice Telephone | 4154643800 |
| Mailing Telephone | 7077952646 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E064579 | CA | Emergency Medical Service Providers |
| Street Address |
675 SIR FRANCIS DRAKE BLVD |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111510 | Bonnie Kaufman | Counselor | 675 Sir Francis Drake Blvd, Kentfield, CA 94904-1639 | 2017-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829821 | Mark Anthony Bagasol | Emergency Medical Technician, Basic | 770 N Plano St, Porterville, CA 93257-6329 | 2020-10-22 |
| 1376142240 | Cory Conte | Emergency Medical Technician, Basic | 2960 S Cherry Ave, Fresno, CA 93706-5445 | 2020-10-21 |
| 1285240556 | Ian Spencer Elario | Emergency Medical Technician, Basic | 31752 Via Belardes, San Juan Capistrano, CA 92675-3031 | 2020-09-21 |
| 1093320376 | Renee Harter | Emergency Medical Technician, Basic | 10901 Gold Center Dr Ste 400, Rancho Cordova, CA 95670-6073 | 2020-09-13 |
| 1871110601 | Richard Fox Emmons Jr. | Emergency Medical Technician, Basic | 4470 W Sunset Blvd Ste 700, Los Angeles, CA 90027-6068 | 2020-06-27 |
| 1104447432 | Nathan Dinitz | Emergency Medical Technician, Basic | 4178 Wallis Ct, Palo Alto, CA 94306-3821 | 2020-04-28 |
| 1952920316 | Jadie Chi | Emergency Medical Technician, Basic | 3145 Geary Blvd # 55, San Francisco, CA 94118-3316 | 2020-04-15 |
| 1821624206 | Blanca Belen Jimenez | Emergency Medical Technician, Basic | 843 Davis St, Livingston, CA 95334-1525 | 2020-03-18 |
| 1265065031 | Eddie Delgado | Emergency Medical Technician, Basic | 526 E Windsor Rd Apt 4, Glendale, CA 91205-2349 | 2020-02-19 |
| 1528608882 | Lidia Rocha | Emergency Medical Technician, Basic | 500 F St, Turlock, CA 95380 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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| 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.