MISS SUE YI SHIA (NPI# 1578739173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578739173 |
| Entity Type | Individual |
| Full Name | MISS SUE YI SHIA |
| Credential | OTR |
| Practice Address |
1422 William Moss Blvd Stockton CA 95206-5666 |
| Practice Telephone | 2092215970 |
| Mailing Telephone | 2092215970 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT6716 | CA | Other Service Providers |
| Street Address |
1422 WILLIAM MOSS BLVD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206-5666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| Find all providers in zip 95206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063943223 | Medcore Hp | Specialist | 2701 E Hammer Ln, Suite 103, Stockton, CA 95210-4245 | 2017-03-21 |
| 1730577917 | Kathryn Debaca | Specialist | 1424 Morrison Ave, Stockton, CA 95205-3538 | 2014-12-22 |
| 1538575428 | Sarah R.a. Pavis | Specialist | 7489 Shoreline Dr, Stockton, CA 95219-4587 | 2014-07-11 |
| 1033451976 | Sheila E Buchbinder | Specialist | 205 Sandy Ridge Mount Airy Rd, Stockton, NJ 08559-1904 | 2013-03-18 |
| 1861751273 | Thomas Tao-yuan Chen | Specialist | 2220 Broadridge Way, Stockton, CA 95209-1247 | 2012-05-07 |
| 1801107438 | Treedeen Tether | Specialist | 3591 Quail Lakes Dr, Unit 136, Stockton, CA 95207-5234 | 2010-06-29 |
| 1801095419 | Kristine Joanne Andres | Specialist | 1304 Sagewood Ct, Stockton, CA 95210-3527 | 2007-07-13 |
| 1689880064 | Prabhjit S. Purewal, Md, Inc. | Specialist | 4722 Quail Lakes Dr Ste A, Stockton, CA 95207-5244 | 2007-05-15 |
| 1720208481 | Ronald C. Allison M.d. Inc. | Specialist | 415 E Harding Way Ste H, Stockton, CA 95204-6118 | 2007-04-26 |
| 1174665756 | Vijaya Bansal | Specialist | 1617 N. California St., Suite 2a, Stockton, CA 95204 | 2007-02-12 |
| Find all providers in STOCKTON | ||||
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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.