MS. GRETEL ERICA PATE (NPI# 1447410774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447410774 |
| Entity Type | Individual |
| Full Name | MS. GRETEL ERICA PATE |
| Credential | RN |
| Practice Address |
12500 Bruceville Rd Elk Grove CA 95757-9784 |
| Practice Telephone | 9168745222 |
| Mailing Telephone | 9168745222 |
| Mailing Fax Number | 9168748183 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
602847 | CA | Nursing Service Providers |
| Street Address |
12500 BRUCEVILLE RD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-9784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730275082 | Mark Lee Huffman | Registered Nurse | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| 1871132159 | My Phuong Nguyen | Pharmacist | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2020-01-03 |
| 1861995730 | Stacy Lynn Cone | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2018-03-16 |
| 1649772534 | Angelica Banuelos | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2018-03-06 |
| 1073948766 | David B Fahn | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2013-09-12 |
| 1235418617 | Morgan Candia | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2011-08-16 |
| 1184934010 | Tracy Elizabeth Hall | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2010-10-13 |
| 1336236777 | Judith L Golden | Social Worker | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-06 |
| 1780770800 | Nancy Phelps White | Registered Nurse | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| 1518053461 | Steve Glenn Cortez | Counselor | 12500 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811332778 | Michael John Flores Esteban | Registered Nurse | 9999 Ferragamo Way, Elk Grove, CA 95757-3037 | 2013-05-06 |
| 1003906272 | Pamela Diane Rouse | Registered Nurse | 12500 Bruceville Road, Elk Grove, CA 95757 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
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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.