KARI LYNN PROVOST (NPI# 1376892521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376892521 |
| Entity Type | Individual |
| Full Name | KARI LYNN PROVOST |
| Credential | P.A. |
| Practice Address |
12595 Hesperia Rd Ste 101 Victorville CA 92395 |
| Mailing Address |
12595 Hesperia Rd Ste 101 Victorville CA 92395-5882 |
| Practice Telephone | 7608813377 |
| Practice Fax Number | 7608813379 |
| Mailing Telephone | 7608813377 |
| Mailing Fax Number | 7608813379 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12595 HESPERIA RD STE 101 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134216930 | Arnab Biswas | Internal Medicine | 12595 Hesperia Rd Ste 101, Victorville, CA 92395-5882 | 2006-10-05 |
| 1356992614 | Mark Joseph Navarro | Nurse Practitioner | 12595 Hesperia Rd Ste 101, Victorville, CA 92395-5882 | 2019-09-26 |
| 1336648005 | Adriana Sanchez | Nurse Practitioner | 12595 Hesperia Rd Ste 101, Victorville, CA 92395-5882 | 2018-02-07 |
| 1215126800 | Thomas Thong Huu Nguyen | Internal Medicine | 12595 Hesperia Rd Ste 101, Victorville, CA 92395-5882 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972964401 | Oluyombo Ojo Ojebiyi | Physician Assistant | 16245 Desert Knoll Dr, Victorville, CA 92395-4011 | 2016-03-11 |
| 1609291327 | Charito Buna Reyes | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2014-03-04 |
| 1497170112 | Louis Seth Sterling Sr. | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2014-03-04 |
| 1619314903 | Jacqueline Gepulle | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2013-05-28 |
| 1023302395 | Jose Roberto Esquetini | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2011-06-04 |
| 1346556263 | Steven James Sanders | Physician Assistant | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2010-08-30 |
| 1841521366 | Christopher Michael Tran | Physician Assistant | 12408 Hesperia Rd, 2, Victorville, CA 92395-7718 | 2010-01-22 |
| 1922239953 | Micaela Marin-tucker | Physician Assistant | 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 | 2009-08-07 |
| 1942345947 | Daniel Leslie Pletsch | Physician Assistant | 14075 Hesperia Rd, Suite 207, Victorville, CA 92395-4500 | 2007-02-20 |
| 1891880811 | Beverly Diane Rauscher | Physician Assistant | 17290 Jasmine St, Suite 101, Victorville, CA 92395-7709 | 2006-10-04 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on KARI LYNN PROVOST.
| 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.