DR. JENNIFER LYNNE CARIS (NPI# 1649204975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649204975 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNNE CARIS |
| Credential | MD |
| Practice Address |
615 Ocean St Santa Cruz CA 95060-4005 |
| Practice Telephone | 8314257991 |
| Practice Fax Number | 8314257346 |
| Mailing Telephone | 8314257991 |
| Mailing Fax Number | 8314257346 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C55549 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 2370237 | 01 | |
| CO | PACIFICARE | 84145895001 | 01 |
| RAILROAD MEDICARE | P00331233 | 01 | |
| CO | 82420033 | 05 | |
| CO | DEA | BC9623744 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6800 Soquel Dr, Aptos, CA 950033225 | 8316623611 | 8316620713 |
| Street Address |
615 OCEAN ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122922 | Miki R Joy | Family Medicine | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2005-05-24 |
| 1356809412 | Natalie Elizabeth Pope | Nurse Practitioner | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2019-03-07 |
| 1306365416 | Amanda Michelle Almond | Nurse Practitioner | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2017-09-11 |
| 1336681444 | Sevil Karavelioglu | Nurse Practitioner | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2016-11-07 |
| 1245682194 | Audrey Elizabeth Payne | Physician Assistant | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2016-07-04 |
| 1437549060 | Karin N. Yien | General Practice | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2015-02-03 |
| 1497197222 | Santa Cruz Doctors On Duty | Non-Pharmacy Dispensing Site | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2013-07-22 |
| 1336179852 | Jonathan James Benak | Physician Assistant | 615 Ocean St, Santa Cruz, CA 95060-4005 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137845 | Lori-ann Tracy | Emergency Medicine | 216 Laguna St, Santa Cruz, CA 95060-6108 | 2007-02-06 |
| 1356490676 | Steven Richard Silverstein | Emergency Medicine | 143 Grunewald Ct, Santa Cruz, CA 95065-1213 | 2007-01-09 |
| 1104289040 | Brook Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2016-03-29 |
| 1669805594 | Heidi May Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065 | 2013-08-14 |
| 1881038925 | David D Wagner | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2013-04-19 |
| 1952643207 | Ranvir Singh | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2013-03-25 |
| 1811274483 | Cep America - California | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2011-11-10 |
| 1063704195 | Christopher John Wesselman | Emergency Medicine | 1555 Soquel Dr, Dominican Hospital Emergency Dept, Santa Cruz, CA 95065-1705 | 2011-05-08 |
| 1811213945 | Laura Michelle Destro | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2010-04-14 |
| 1932341575 | Rebecca Wurster | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2009-03-27 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.