MRS. KRYSTAL FOSSE (NPI# 1649510330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649510330 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL FOSSE |
| Credential | FNP-C |
| Practice Address |
275 W Herndon Ave Clovis CA 93612-0204 |
| Practice Telephone | 5593246210 |
| Mailing Telephone | 5593246210 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22168 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
275 W HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-0204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716563 | Jennifer Kristin Nay | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-03 |
| 1548740459 | Sia Lee | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2018-08-20 |
| 1912369927 | Jesse Adam Alifano | Pediatrics | 275 W Herndon Ave, Clovis, CA 93612 | 2016-03-28 |
| 1952760308 | Clovis Dermatology, Inc | Clinic/Center | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2016-02-14 |
| 1083093975 | Joyalene Onn Lin Ng Hiersche | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2015-05-25 |
| 1164857058 | Victor O Gunn | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-09-10 |
| 1619215837 | Amitasha Mann | Internal Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-01-23 |
| 1457656225 | Peachwood Aesthetic Skincare Center Inc. | Dermatology | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2011-01-25 |
| 1699933952 | Harjagjit Singh Maan | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2008-05-22 |
| 1932381712 | Amber R Bryant | Dietitian, Registered | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059586 | Dianne Mae Acuna Benigno | Nurse Practitioner | 2117 Chennault Ave, Clovis, CA 93611-6888 | 2020-09-30 |
| 1376157776 | Natalie Davis | Nurse Practitioner | 1160 Prescott Ave, Clovis, CA 93619-7541 | 2020-09-02 |
| 1891309654 | Nancy Ann Burchfiel | Nurse Practitioner | 26310 Redhawk Ln, Clovis, CA 93619-9726 | 2020-08-31 |
| 1609415140 | Shang Knesek | Nurse Practitioner | 2083 Everglade Ave, Clovis, CA 93619-2857 | 2020-01-01 |
| 1942845847 | Victoria Jessica Vang | Nurse Practitioner | 1555 Shaw Ave Ste 101, Clovis, CA 93611-4096 | 2019-11-14 |
| 1871146464 | Stacey Chavez | Nurse Practitioner | 105 Redwing, Clovis, NM 88101-9597 | 2019-07-22 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1427431139 | Krisa Sompong Nguyen | Nurse Practitioner | 2697 Omaha Ave, Clovis, CA 93619-8478 | 2015-06-30 |
| 1184047631 | Patricia Painter | Nurse Practitioner | 716 E Tierra Blanca Rd, Clovis, NM 88101-3753 | 2014-02-03 |
| 1962714410 | Clovis Quickcare LLC | Nurse Practitioner | 2000 W 21st St Ste E3, Clovis, NM 88101-4093 | 2010-07-12 |
| Find all providers in CLOVIS | ||||
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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.