TILKSEW A TEDLA (NPI# 1356856132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356856132 |
| Entity Type | Individual |
| Full Name | TILKSEW A TEDLA |
| Practice Address |
3795 E Shields Ave Fresno CA 93726-7029 |
| Mailing Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Practice Telephone | 5594127149 |
| Mailing Telephone | 8059287361 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN274800 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135884 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3795 E SHIELDS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-7029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417644 | Lisa A Wyatt | Marriage & Family Therapist | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2006-12-29 |
| 1588138713 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2019-01-22 |
| 1093297954 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2018-09-06 |
| 1114309556 | Mayela Razo-vega | Marriage & Family Therapist | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2015-06-22 |
| 1992128276 | Maria Her | Case Manager/Care Coordinator | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2014-01-22 |
| 1548691264 | Laura Laird | Community/Behavioral Health | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2013-12-05 |
| 1578905519 | Herenia Del Valle | Counselor | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2013-07-18 |
| 1104170737 | Talacey Cox | Marriage & Family Therapist | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2012-11-05 |
| 1518211317 | Mai Yia Chang | Social Worker | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2012-10-31 |
| 1235488560 | Renee G Bray | Marriage & Family Therapist | 3795 E Shields Ave, Fresno, CA 93726-7029 | 2012-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754963 | Jaspreet Kaur | Nurse Practitioner | 5810 E Laurite Ave, Fresno, CA 93727-9040 | 2020-03-12 |
| 1194351981 | Marian Montes | Nurse Practitioner | 6780 N West Ave Ste 101, Fresno, CA 93711-4305 | 2020-03-12 |
| 1821633082 | Ravneet Kaur | Nurse Practitioner | 6069 N 1st St, Fresno, CA 93710-5467 | 2019-11-12 |
| 1932674850 | Jacqueline Carino | Nurse Practitioner | 7215 N Fresno St Ste 101, Fresno, CA 93720-2969 | 2018-10-07 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1669915666 | Jehnette R Lopez | Nurse Practitioner | 45 River Park Place West, Suite 104, Fresno, CA 93720-1565 | 2016-11-22 |
| 1942653415 | Carolyn Ferguson | Nurse Practitioner | 1255 E. Herndon, Fresno, CA 93720-0000 | 2016-07-19 |
| 1144688524 | Kathy Donohue I | Nurse Practitioner | 3694 W Fir Ave, Fresno, CA 93711-0617 | 2016-02-01 |
| 1154787786 | Neeraj Juneja | Nurse Practitioner | 7202 N Millbrook Ave Ste 202, Fresno, CA 93720 | 2016-01-12 |
| 1447642145 | Omni Women's Health | Nurse Practitioner | 3812 N First St, Fresno, CA 93726 | 2015-03-04 |
| Find all providers in FRESNO | ||||
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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.