CAITLIN HANAVAN (NPI# 1366005068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366005068 |
| Entity Type | Individual |
| Full Name | CAITLIN HANAVAN |
| Credential | RN, FNP-C |
| Practice Address |
2240 Gladstone Dr Ste 4 Pittsburg CA 94565-5126 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 9254312100 |
| Practice Fax Number | 9254311234 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 740098 | NY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 95015134 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F344494 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 W 85th St, New York, NY 100246265 | 2126780570 | |
| 1894 Walton Ave, Bronx, NY 104536018 | 7185833060 |
| Street Address |
2240 GLADSTONE DR STE 4 |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530363 | Yolanda Rodriguez | Dietitian, Registered | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 | 2012-01-10 |
| 1710541040 | Maria Mcmillon | Physician Assistant | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 | 2019-04-22 |
| 1164940284 | Desiree P Espinoza | Nurse Practitioner | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 | 2017-09-08 |
| 1922459106 | Beverley Chiang | Student in an Organized Health Care Education/Training Program | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 | 2016-06-28 |
| 1780038000 | Jeanette Leon | Registered Nurse | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565 | 2016-04-22 |
| 1427454800 | Luz Anabelle Frausto | Physician Assistant | 2240 Gladstone Dr Ste 4, Pittsburg, CA 94565-5126 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| 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 |
|---|---|---|---|---|
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447762984 | Daniel Wesley Williams | Nurse Practitioner | 1801 N Joplin St, Pittsburg, KS 66762-3241 | 2017-10-24 |
| 1285642892 | Vera Vitt | Nurse Practitioner | 200 E. Centennial Dr., Ste. 13, Pittsburg, KS 66762 | 2006-08-03 |
| 1134189848 | Kay W. Quick | Nurse Practitioner | 2711 S Rouse St Ste F, Pittsburg, KS 66762-6621 | 2006-03-25 |
| 1407858616 | Analisa Miranda Loewen | Nurse Practitioner | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2005-06-01 |
| 1417566100 | Sarah Marie Stoughton | Nurse Practitioner | 1701 S Broadway St, Pittsburg, KS 66762-5856 | 2020-07-28 |
| 1417442450 | Travis Brent Bernot | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762 | 2018-06-22 |
| 1467961466 | Heather Leann Mooneyham | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2017-09-22 |
| 1487021820 | Amber D Hunziker | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2015-09-01 |
| 1417389214 | Megan Rene Morris | Nurse Practitioner | 107 N Pine St, Pittsburg, KS 66762-4743 | 2013-08-02 |
| Find all providers in PITTSBURG | ||||
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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.