MICHELLE KATHLEEN RALLECA CASANOVA (NPI# 1528457249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528457249 |
| Entity Type | Individual |
| Full Name | MICHELLE KATHLEEN RALLECA CASANOVA |
| Other Name | MICHELLE KATHLEEN RALLECA |
| Credential | FNP |
| Practice Address |
501 40th St Ste A Bakersfield CA 93301-5845 |
| Mailing Address |
655 S. Central Vally Hwy Shafter CA 93263 |
| Practice Telephone | 6613910305 |
| Mailing Telephone | 8003006664 |
| Mailing Fax Number | 6617469197 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F0914750 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 40TH ST STE A |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936429 | Melanie Nicole Reynolds | Nurse Practitioner | 4105 Empire Drive, Bakersfield, CA 93309-9330 | 2020-03-05 |
| 1376175752 | Deborah Kristy San-gil | Nurse Practitioner | 14000 Cardigan Ave, Bakersfield, CA 93314-8996 | 2020-02-04 |
| 1750847745 | Babyruth Garing | Nurse Practitioner | 6804 Chinook Falls Dr, Bakersfield, CA 93312-1885 | 2019-02-14 |
| 1639689805 | Jonathan Hernandez | Nurse Practitioner | 2504 Cedar St, Bakersfield, CA 93301-2728 | 2017-10-02 |
| 1073032447 | Sukhchain Samra | Nurse Practitioner | 4605 Cimarron Ridge Dr, Bakersfield, CA 93313-5550 | 2017-09-16 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1710425392 | Sarabjit Singh Anand | Nurse Practitioner | 1820 21st St, Bakersfield, CA 93301-3936 | 2017-02-03 |
| 1790167146 | Nathaniel Altavas | Nurse Practitioner | 10304 Skiles Dr, Bakersfield, CA 93311-3066 | 2015-06-22 |
| 1265813315 | Charissa Gajete Bacena-miano | Nurse Practitioner | 4000 Physicians Blvd Ste 101, Bakersfield, CA 93301-1284 | 2015-06-15 |
| 1225427941 | Eleia Bibay | Nurse Practitioner | 501 40th St, Bldg A, Bakersfield, CA 93301-5845 | 2015-01-19 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.