MS. EMILY P OTTO (NPI# 1619401460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619401460 |
Entity Type | Individual |
Full Name | MS. EMILY P OTTO |
Credential | NP |
Practice Address |
1555 Soquel Dr Santa Cruz CA 95065-1705 |
Practice Telephone | 8314627581 |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 632238 | CA | Nursing Service Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95007121 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 269329 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942780507 | Emily Otto | Nurse Practitioner | 9510 Ormsby Station Rd, Louisville, KY 40223-4081 | 2018-08-14 |
1952707788 | Emily Otto | Speech-Language Pathologist | 3699 Alexandria Pike, Suite D, Cold Spring, KY 41076-1789 | 2014-11-05 |
1952660086 | Emily Ann Otto | Physical Therapist | 3300 Darby Rd, Haverford, PA 19041-1061 | 2012-05-09 |
Street Address |
1555 SOQUEL DR |
City | SANTA CRUZ |
State | CA |
Zip Code | 95065-1705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073583811 | Kathleen Dempsey | Nurse Practitioner | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2006-01-24 |
1073148235 | James Douglas Bergum | Perfusionist | 1555 Soquel Dr, Santa Cruz, CA 95065-1794 | 2020-03-09 |
1790335636 | Melissa L Herceg | Social Worker | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-09-12 |
1720633597 | Bonny Masters Md Inc | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-08-07 |
1851869606 | Brian Nalley | Pharmacist | 1555 Soquel Dr, Santa Cruz, CA 95065-1794 | 2018-11-09 |
1104289040 | Brook Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2016-03-29 |
1750754776 | Lora Boone | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Dominican Hospital, Santa Cruz, CA 95065 | 2015-11-13 |
1427433408 | Terrie M Uzunangelov | Speech-Language Pathologist | 1555 Soquel Dr, Santa Cruz, CA 95065 | 2015-07-20 |
1649662131 | David Goldman | Anesthesiology | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2015-02-20 |
1649686841 | Arian Yousefi | Hospitalist | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2014-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
Find all providers in zip 95065 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124593207 | Jennifer Pfeiffer | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2018-10-04 |
1679919138 | John Bredin Boggs | Nurse Practitioner | 1661 Soquel Dr Ste D, Santa Cruz, CA 95065-1709 | 2013-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
Find all providers with the same taxonomy |
City | SANTA CRUZ |
Zip Code | 95065 |
Please comment or provide details below to improve the information on MS. EMILY P OTTO.
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.