KEATONIA ISA HALL (NPI# 1497303937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497303937 |
| Entity Type | Individual |
| Full Name | KEATONIA ISA HALL |
| Practice Address |
6333 Telegraph Ave Oakland CA 94609-1359 |
| Practice Telephone | 5109231099 |
| Mailing Telephone | 5109231099 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 0111 | 01 |
| Street Address |
6333 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278991 | Charline Bayon Simmons | Psychiatry & Neurology | 6333 Telegraph Ave, 200, Oakland, CA 94609-1359 | 2006-01-07 |
| 1376143040 | Lisette Carrillo | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-10-30 |
| 1497366694 | Debbie Terry Cruz | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-08-11 |
| 1699314740 | Kimbra J Baker | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-01-06 |
| 1609419019 | Marlyn Murcia | Case Manager/Care Coordinator | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1265075667 | Adebisi Adewale | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1093356826 | Shaeonna Shamara Muhammad | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-02 |
| 1053962779 | Selene Singh | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-09-24 |
| 1629626148 | Monte Hardy | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1396203253 | Don Ellis Phillips Sr. | Nurse Practitioner | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
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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.