CHANTELLE ODISHO (NPI# 1336612688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336612688 |
| Entity Type | Individual |
| Full Name | CHANTELLE ODISHO |
| Practice Address |
2000 W Briggsmore Ave Ste I Modesto CA 95350-3839 |
| Practice Telephone | 2095261440 |
| Practice Fax Number | 2095260908 |
| Mailing Telephone | 2095261440 |
| Mailing Fax Number | 2095260908 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2000 W BRIGGSMORE AVE STE I |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992842728 | Kimberly Davis | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2007-01-31 |
| 1750991378 | Daniel Silva Costa | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-08-07 |
| 1538794029 | Victoria Gonzalez | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-03-05 |
| 1114567419 | Hanat Nambi Balimuttajjo | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2020-01-14 |
| 1184261547 | Briana Rios | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-12-04 |
| 1801433263 | Ivander Miguel Gonzalez | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-12-04 |
| 1295381309 | Elizabeth A Alvarez | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-08-14 |
| 1093361313 | Nancy Reyes | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-08-13 |
| 1962054718 | Amber Leann Rice | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-07-11 |
| 1194387670 | Sarah Hunt | Counselor | 2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378408 | Amelia Ann Garcia | Counselor | 1004 Whitemarsh Way, Modesto, CA 95356-1237 | 2020-08-28 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1720463029 | Valerie Kristine Seagle | Counselor | 615 13th St Ste B1, Modesto, CA 95354-2456 | 2015-07-28 |
| 1952702706 | Michelle Ann Culver | Counselor | 4640 Spyres Way Ste 7, Modesto, CA 95356-9800 | 2014-09-11 |
| 1942601398 | Brianna Bossard | Counselor | 1231 8th St Ste 775, Modesto, CA 95354-2232 | 2014-09-04 |
| 1043619380 | Fanny Cortez | Counselor | 121 Downey Ave Apt 120, Modesto, CA 95354-1208 | 2014-08-21 |
| 1548669500 | Shannon Breckenridge | Counselor | 1800 Tully Rd # Stua-2, Modesto, CA 95350-2946 | 2014-08-15 |
| 1639503352 | Nicole Valadao | Counselor | 2625 F Coffee Rd # 132, Modesto, CA 95355-2053 | 2013-08-29 |
| 1942633979 | Monika Nicole Teves | Counselor | 504 King Richard Ln, Modesto, CA 95350-1532 | 2013-08-13 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| Find all providers in MODESTO | ||||
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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.