BRITTANY LUIZ (NPI# 1437644556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437644556 |
Entity Type | Individual |
Full Name | BRITTANY LUIZ |
Practice Address |
1520 W Kettleman Ln Lodi CA 95242-9290 |
Mailing Address |
15 S Orange Ave Lodi CA 95240-2834 |
Practice Telephone | 2093393797 |
Mailing Telephone | 2092247158 |
Enumeration Date | 2018-06-30 |
Last Update Date | 2018-06-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008694 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1520 W KETTLEMAN LN |
City | LODI |
State | CA |
Zip Code | 95242-9290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790722718 | Tareq Ali | Family Medicine | 1520 W Kettleman Ln, Suite B, Lodi, CA 95242-9290 | 2006-05-31 |
1144632076 | Family Urgent Care | Clinic/Center | 1520 W Kettleman Ln, Suite B, Lodi, CA 95242-9290 | 2014-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
Find all providers in zip 95242 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194356972 | Ana Mariel Builes | Nurse Practitioner | 552 Harrison Ave, Lodi, NJ 07644-1137 | 2020-01-30 |
1437649779 | Arturo Nicolas De Leon | Nurse Practitioner | 1235 W Vine St Ste 22, Lodi, CA 95240-5144 | 2018-05-12 |
1831468255 | Katherine Redmond-larimer | Nurse Practitioner | 975 S. Fairmont Avenue, Lodi, CA 95240 | 2011-12-14 |
1811212111 | Julie Lynn Jerome | Nurse Practitioner | 2407 West Vine Street, Suite A, Lodi, CA 95242-3730 | 2010-03-30 |
1275514101 | Catherine Mary Jennings | Nurse Practitioner | 262 S Main St, Lodi, NJ 07644-2117 | 2005-11-08 |
1962013854 | Katrina Marie Nguyen | Nurse Practitioner | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2020-08-13 |
1306494539 | Ashley Hurst | Nurse Practitioner | 2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 | 2019-08-30 |
1346715307 | Birhanu Z. Admassie | Nurse Practitioner | 2122 W Kettleman Ln, Lodi, CA 95242 | 2018-10-05 |
1902332299 | Brittny Queden | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2017-05-04 |
1659773661 | Kristin Carrie Trill | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2014-09-22 |
Find all providers in LODI |
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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.