MARY ALLISON REDDEN (NPI# 1508381302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508381302 |
| Entity Type | Individual |
| Full Name | MARY ALLISON REDDEN |
| Credential | FNP-C |
| Practice Address |
1730 Alpine Blvd Alpine CA 91901 |
| Mailing Address |
1730 Alpine Blvd Alpine CA 91901-3876 |
| Practice Telephone | 6193264445 |
| Mailing Telephone | 6193264445 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
725973 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007137 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, San Diego, CA 921341098 | 6195329000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814114 | Mary Redden | Physical Therapist | 1501 E Greenville St, Anderson, SC 29621-2004 | 2019-07-31 |
| 1306344536 | Mary Redden | Speech-Language Pathologist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2018-01-23 |
| 1114167012 | Mary Christina Redden | Counselor | 16342 N Il Hwy 37, Mt. Vernon, IL 62864 | 2009-03-05 |
| Street Address |
1730 ALPINE BLVD |
| City | ALPINE |
| State | CA |
| Zip Code | 91901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649498 | Barbara Lee Lacuesta | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2020-02-03 |
| 1861961369 | Emily Andrew | Physician Assistant | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-11-14 |
| 1699257907 | Lindsay Diane Hanna | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-09-04 |
| 1780177147 | Sheryl Elaine Harpel | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| 1164516928 | Arvin J Klein | Internal Medicine | 3897 Via Palo Verde Lago, Alpine, CA 91901 | 2006-10-03 |
| Find all providers in zip 91901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793007 | Annalee Bingham | Nurse Practitioner | 552 Ridge Ln, Alpine, UT 84004-2630 | 2016-07-29 |
| 1770543530 | Joann K Lister | Nurse Practitioner | 910 E Lockhart Ave, Alpine, TX 79830-4906 | 2006-03-24 |
| 1447230719 | Brenda W Iddins | Nurse Practitioner | 93 Point Clear Lane, Alpine, AL 35014 | 2006-01-20 |
| 1376151118 | Jennifer Virginia Anne Whitley | Nurse Practitioner | 2600 N State Highway 118, Alpine, TX 79830-2002 | 2020-07-17 |
| 1023649498 | Barbara Lee Lacuesta | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2020-02-03 |
| 1922644103 | Nechelle Fabiana Metayer | Nurse Practitioner | 1730 Alpine Blvd Ste 205, Alpine, CA 91901-3878 | 2019-11-21 |
| 1619526118 | Teresa Michelle Hurley | Nurse Practitioner | 1620 Alpine Boulevard, Alpine, CA 91901-9190 | 2019-09-06 |
| 1518510726 | Patrick Michael Reed | Nurse Practitioner | 2600 N State Highway 118, Alpine, TX 79830-2002 | 2019-07-17 |
| 1699257907 | Lindsay Diane Hanna | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-09-04 |
| 1780177147 | Sheryl Elaine Harpel | Nurse Practitioner | 1730 Alpine Blvd, Alpine, CA 91901-3876 | 2018-06-11 |
| Find all providers in ALPINE | ||||
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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.