THERESA LYNN STEWART (NPI# 1518581099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518581099 |
Entity Type | Individual |
Full Name | THERESA LYNN STEWART |
Other Name | THERESA LYNN WILKS |
Credential | LPT |
Practice Address |
1110 Newport Way Roseville CA 95661-5315 |
Practice Telephone | 9165323628 |
Mailing Telephone | 9165323628 |
Enumeration Date | 2020-06-01 |
Last Update Date | 2020-06-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 41428 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053481481 | Theresa Daly Stewart | Occupational Therapist | 2455 Lunetta Ln, Alpharetta, GA 30004-4213 | 2006-11-09 |
1326686122 | Theresa Testa Stewart | Nurse Practitioner | 1401 S 31st St, Philadelphia, PA 19146-3506 | 2019-12-12 |
1528563798 | Theresa Stewart | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-03-28 |
1619483351 | Theresa Denise Stewart | Licensed Practical Nurse | 300 N Huron St Ste 10, Ypsilanti, MI 48197-2842 | 2017-12-18 |
1568617538 | Theresa Stewart | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-11-18 |
1205094109 | Theresa Jean Stewart | Counselor | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2008-05-28 |
1942476593 | Theresa Ann Stewart | Registered Nurse | 225 Smith Ave N, 500, St Paul, MN 55102 | 2008-05-05 |
1467557579 | Theresa L. Stewart | Registered Nurse | 325 9th Ave, Box 359947, Seattle, WA 98104-2420 | 2006-09-13 |
1043238447 | Theresa L Stewart | Nurse Practitioner | 1501 Kings Hwy, Department of Psychiatry, Shreveport, LA 71103-4228 | 2006-07-17 |
1003859901 | Theresa Lynn Stewart | Medical Genetics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2006-06-14 |
Street Address |
1110 NEWPORT WAY |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-5315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
Find all providers in zip 95661 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770132136 | Janice L Gordon | Licensed Psychiatric Technician | 1133 Coloma Way, Roseville, CA 95661-4480 | 2019-09-09 |
1255778544 | Kristy Hewitt | Licensed Psychiatric Technician | 1133 Coloma Way Ste C, Roseville, CA 95661 | 2013-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
1902438070 | Erik Anthony Paniagua | Licensed Psychiatric Technician | 12906 Indian Ln, Norwalk, CA 90650-3313 | 2020-02-06 |
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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.