IVY MECANO (NPI# 1427662162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427662162 |
| Entity Type | Individual |
| Full Name | IVY MECANO |
| Practice Address |
200 Edmonds Rd Redwood City CA 94062-3813 |
| Practice Telephone | 6503671890 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
594696 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN LICENSE | 594696 | 01 |
| Street Address |
200 EDMONDS RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509123 | Cordilleras Mental Health Corporation | Community Based Residential Treatment Facility, Mental Illness | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2006-10-09 |
| 1942801493 | Sherry Chat Bautista | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-11-02 |
| 1124633524 | Jamal Perry | Counselor | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-09-11 |
| 1265044077 | Kristina Antonia Ghiglieri | Marriage & Family Therapist | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-21 |
| 1043822463 | Matthew Thomas Wynne | Counselor | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-18 |
| 1619589256 | Fatima Culha | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-17 |
| 1407468028 | Herbert Barnuevo | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-17 |
| 1760093694 | Nelia L Lastimosa-jaramillo | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-13 |
| 1548871494 | Rachel Green | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-13 |
| 1477164770 | Sharene Rodamaker | Marriage & Family Therapist | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962728329 | James Christopher Threatt | Registered Nurse | 2872 Blenheim Ave, Redwood City, CA 94063-3207 | 2010-04-10 |
| 1942801493 | Sherry Chat Bautista | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-11-02 |
| 1619589256 | Fatima Culha | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-17 |
| 1407468028 | Herbert Barnuevo | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-17 |
| 1760093694 | Nelia L Lastimosa-jaramillo | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-13 |
| 1548871494 | Rachel Green | Registered Nurse | 200 Edmonds Rd, Redwood City, CA 94062-3813 | 2020-08-13 |
| 1568607158 | Joel Bylsma | Registered Nurse | 855 Veterans Blvd, Redwood City, CA 94063-1712 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on IVY MECANO.
| 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.