KRISTINE C MAKI (NPI# 1609959576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609959576 |
Entity Type | Individual |
Full Name | KRISTINE C MAKI |
Credential | N.P. |
Practice Address |
701 E Channel St Stockton CA 95202-2628 |
Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
Practice Telephone | 2099444700 |
Practice Fax Number | 2099444795 |
Mailing Telephone | 2093732800 |
Mailing Fax Number | 2093732873 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2010-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 603819 | CA | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | 13619 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
701 E CHANNEL ST |
City | STOCKTON |
State | CA |
Zip Code | 95202-2628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578552543 | Community Medical Centers, Inc | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2005-10-20 |
1376175265 | Lisa Gildea | Dental Hygienist | 701 E Channel St, Stockton, CA 95202-2628 | 2020-02-07 |
1427524156 | Katherine Francis Ketz | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2018-10-20 |
1639676422 | Olivia Millan | Lactation Consultant, Non-RN | 701 E Channel St, Stockton, CA 95202-2628 | 2018-04-09 |
1982101911 | Erin Kathleen Garcia | Dietitian, Registered | 701 E Channel St, Stockton, CA 95202-2628 | 2018-04-06 |
1871092320 | Pam Thao | Assistant Behavior Analyst | 701 E Channel St, Stockton, CA 95202-2628 | 2018-02-09 |
1336665587 | Elaine Sze Ho | Family Medicine | 701 E Channel St, Stockton, CA 95202-2628 | 2017-08-18 |
1770036642 | Pak-hei Hui | Pharmacist | 701 E Channel St, Stockton, CA 95202-2628 | 2016-07-27 |
1417361395 | Issa Sidibe | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2014-06-18 |
1821381179 | David Graham | Nurse Practitioner | 701 E Channel St, Stockton, CA 95202-2628 | 2011-05-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
Find all providers in zip 95202 |
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 |
---|---|---|---|---|
1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
1992107114 | Dorothy Smith | Nurse Practitioner | 3531 Gold Coast Ct, Stockton, CA 95206-5143 | 2014-09-18 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
1598003337 | Jose Antonio Marquez Santos | Nurse Practitioner | 10541 Arianne Dr, Stockton, CA 95209-4378 | 2013-01-30 |
1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
1649896184 | Rachel Valdez | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2020-06-21 |
1740783778 | Emily Cruz | Nurse Practitioner | 678 N Wilson Way, Stockton, CA 95205-4272 | 2018-03-15 |
1821467747 | Illa Cox | Nurse Practitioner | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-09-22 |
1013308485 | Rex Ambatali Jr. | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2015-02-06 |
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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.