SEAN KOULABOUD (NPI# 1568837276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568837276 |
| Entity Type | Individual |
| Full Name | SEAN KOULABOUD |
| Other Name | SEAN KOULABOUD |
| Credential | APRN |
| Practice Address |
1600 Creekside Dr Ste 2100 Folsom CA 95630-3447 |
| Practice Telephone | 1698326639 |
| Practice Fax Number | 1698306029 |
| Mailing Telephone | 1698326639 |
| Mailing Fax Number | 1698306029 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN-53-76899 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004148 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-76899 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA NURSING LICENSE | 95004148 | 01 |
| KS | KANSAS NURSING LICENSE | APRN-53-76899 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 N Hillside St, Wichita, KS 672144910 | 3169622000 | 3033067753 |
| Street Address |
1600 CREEKSIDE DR STE 2100 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053417329 | Patricia Nabors King | Nurse Practitioner | 1600 Creekside Dr Ste 2100, Folsom, CA 95630-3447 | 2006-09-15 |
| 1669090767 | Sarah Elizabeth Ramos Aguilar | Nurse Practitioner | 1600 Creekside Dr Ste 2100, Folsom, CA 95630-3447 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1457902017 | Parul Puri | Nurse Practitioner | 2390 E Bidwell St Ste 200, Folsom, CA 95630-3873 | 2019-09-25 |
| 1114404316 | Joseph Aaron Ochoa | Nurse Practitioner | 1615 Creekside Dr Ste 100, Folsom, CA 95630-3491 | 2018-07-20 |
| 1356831291 | Radhika Patel | Nurse Practitioner | 1561 Creekside Dr Ste 140, Folsom, CA 95630-3494 | 2018-05-16 |
| 1497104087 | Christina Nester | Nurse Practitioner | 901 Morton Ave, Folsom, PA 19033-2943 | 2016-06-06 |
| 1639555790 | Melinda Ann Cox | Nurse Practitioner | 15410 Erindale Dr, Folsom, LA 70437-5166 | 2015-07-30 |
| 1578947511 | Sabrina Dawn Turner | Nurse Practitioner | 1201 E. Bidwell Street, Folsom, CA 95630 | 2015-07-18 |
| 1659630481 | Nelia Tating Genson-posis | Nurse Practitioner | 131 John Henry Cir, Folsom, CA 95630-8133 | 2012-05-14 |
| 1871809004 | Patrick Henderson Wainright Jr. | Nurse Practitioner | 82525 Hwy 25, St Tammany Physicians Network-folsom, Folsom, LA 70437 | 2010-08-25 |
| 1023218575 | Josephine P Williams | Nurse Practitioner | 108 Lowney Ct, Folsom, CA 95630-6729 | 2007-07-23 |
| Find all providers in FOLSOM | ||||
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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.