RAE-LYNN MICHELLE GHOSH (NPI# 1477665602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477665602 |
| Entity Type | Individual |
| Full Name | RAE-LYNN MICHELLE GHOSH |
| Other Name | RAE LYNN MICHELLE COUTURE |
| Credential | P.A. |
| Practice Address |
2 West Fern Ave Redlands CA 92373-5916 |
| Mailing Address |
P.o. Box 2200 Redlands CA 92373-0722 |
| Practice Telephone | 9097933311 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097964158 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 WEST FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267156 | Kerry D Rold | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1841230026 | Frank W Morgan | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-06-07 |
| 1104866383 | James K Wallman | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-06-07 |
| 1386683571 | David R Vazquez | Obstetrics & Gynecology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434893 | Riley Pyne Warner | Physician Assistant | 92 Kansas St Apt F23, Redlands, CA 92373-5429 | 2020-07-19 |
| 1710543194 | Tiffany Darlene Mendoza | Physician Assistant | 93 Kansas St Apt 605, Redlands, CA 92373-1476 | 2019-05-11 |
| 1750861951 | Jordan David Giesler | Physician Assistant | 75 Price St Apt A, Redlands, CA 92373-1426 | 2018-08-16 |
| 1952889800 | Megan Straw | Physician Assistant | 1754 Somerset Ln, Redlands, CA 92374-5561 | 2018-08-02 |
| 1497260772 | Annie Wai-chee Li | Physician Assistant | 255 Terracina Blvd Ste 101a, Redlands, CA 92373-4870 | 2017-12-07 |
| 1174079347 | Student | Physician Assistant | 1640 Juanita Ln, Redlands, CA 92373-7142 | 2016-08-28 |
| 1942655303 | Jeff Del Real | Physician Assistant | 118 E Cypress Ave, Redlands, CA 92373-6035 | 2016-05-03 |
| 1639540131 | Travis Taggart | Physician Assistant | 808 Rachel Ct, Redlands, CA 92373-4563 | 2015-10-09 |
| 1740659994 | Aurora Casas Ledezma | Physician Assistant | 1969 Orange Tree Ln Ste B, Redlands, CA 92374-0114 | 2015-09-17 |
| 1629499322 | Pamela Denese Moore | Physician Assistant | 1716 Allison Way, Redlands, CA 92373-7436 | 2013-12-23 |
| Find all providers in REDLANDS | ||||
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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.