SUSAN TANCREDI (NPI# 1558484972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558484972 |
Entity Type | Individual |
Full Name | SUSAN TANCREDI |
Credential | ANP-BC |
Practice Address |
10777 Science Center Dr Ohw, Cb1/1167 San Diego CA 92121-1111 |
Mailing Address |
Po Box 400111 San Diego CA 92140-0111 |
Practice Telephone | 8586228860 |
Mailing Telephone | 6192984488 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2010-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
440373 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10777 SCIENCE CENTER DR OHW, CB1/1167 |
City | SAN DIEGO |
State | CA |
Zip Code | 92121-1111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104216365 | Eric Powell | Pathology | 10777 Science Center Dr, San Diego, CA 92121-1111 | 2015-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
Find all providers in zip 92121 |
Taxonomy Code | 363LX0106X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Occupational Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437395118 | Sonja Harlow | Nurse Practitioner | 7901 Frost St, Sharp Healthcare/knollwood/ Eohd, San Diego, CA 92123-2701 | 2008-12-30 |
1588810683 | Pamela Burdt | Nurse Practitioner | 330 Lewis St, Ste 100, San Diego, CA 92103-2108 | 2008-08-08 |
1437371796 | Barbara Regis | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-05-03 |
1346362134 | Leslie Cross Thompson | Nurse Practitioner | 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 | 2007-04-04 |
1215059753 | Gayle Marie Peterson | Nurse Practitioner | 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 | 2007-04-04 |
1023130606 | Janet Roberta Macauley | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2007-04-04 |
1578629820 | Cheryl Ann Prestianni | Nurse Practitioner | 330 Lewis St, Ste 100, San Diego, CA 92103-2108 | 2006-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707114 | Jacob Berumen | Nurse Practitioner | 1134 Lemoyne St, Los Angeles, CA 90026-3207 | 2020-10-11 |
1053702159 | Ivory Adanza | Nurse Practitioner | 1801 E March Ln Ste D480, Stockton, CA 95210-6681 | 2015-02-10 |
1427448414 | Nancy Seiler | Nurse Practitioner | 1305 Peach St Suite 301, San Luis Obispo, CA 93401-2700 | 2015-01-28 |
1619315165 | Christine Hovorka Weimer | Nurse Practitioner | 1515 Walnut Grove Ave, 1st Floor, Rosemead, CA 91770-3710 | 2013-06-06 |
1497098529 | Erin Lum | Nurse Practitioner | 77 Beale St Fl 3, Pg&e Health Center, San Francisco, CA 94105-1814 | 2013-03-27 |
1194019448 | Susan S Harada | Nurse Practitioner | 405 Bedford Pl, Thousand Oaks, CA 91360-5329 | 2011-06-03 |
1104151182 | Mary Elizabeth Murali | Nurse Practitioner | 1159 Mataro Ct, Pleasanton, CA 94566-6981 | 2009-10-08 |
1790946085 | Sherrill Diane Petherbridge | Nurse Practitioner | 736 W Jasmine Cir, Santa Rosa, CA 95407-6778 | 2008-06-19 |
1750550349 | Tammy Ann Watts | Nurse Practitioner | 5858 Stoneridge Mall Rd, Safeway Health Center, Pleasanton, CA 94588-3231 | 2008-02-27 |
1710182589 | Evangelina Ramirez | Nurse Practitioner | 200 Ucla Medical Plz Ste 224, Los Angeles, CA 90095-6926 | 2007-06-20 |
Find all providers with the same taxonomy |
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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.