MRS. CONNIE SUE WEBBER (NPI# 1356424295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356424295 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE SUE WEBBER |
| Other Name | MISS CONNIE SUE WHITWORTH |
| Credential | R.N. |
| Practice Address |
1860 Walnut St Suite A Red Bluff CA 96080-3611 |
| Mailing Address |
4804 Rhonda Rd Anderson CA 96007-9006 |
| Practice Telephone | 5305275631 |
| Practice Fax Number | 5305270232 |
| Mailing Telephone | 5303651489 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN431307 | CA | Nursing Service Providers |
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN431307 | CA | Nursing Service Providers |
| X | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
RN431307 | CA | Nursing Service Providers |
| Street Address |
1860 WALNUT ST SUITE A |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245253475 | Jenna Quinn | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2006-07-26 |
| 1902414923 | Nathan Watson | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
| 1285272781 | Lorenna Leon | Community Based Residential Treatment Facility, Mental Illness | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-12-15 |
| 1588223036 | Amber L Wilson | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-06-09 |
| 1003378381 | Rachael Waltz | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-04-04 |
| 1790253987 | Desiree De Palma | Home Health Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-06 |
| 1548736879 | Megan Sundblad | Licensed Psychiatric Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-14 |
| 1144795311 | Noemi Avila-reyes | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-03 |
| 1194202366 | Morgan Vazquez | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080 | 2018-07-20 |
| 1760996870 | Amanda Mackenzie Swanson | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
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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.