IRINA CARMACK (NPI# 1659870343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659870343 |
| Entity Type | Individual |
| Full Name | IRINA CARMACK |
| Credential | NP |
| Practice Address |
2101 Forest Ave Ste 220a San Jose CA 95128 |
| Mailing Address |
1150 Main St Ste 3 Watsonville CA 95076-3760 |
| Practice Telephone | 4082958628 |
| Mailing Telephone | 8152890039 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95008283 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008283 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2101 Forest Ave Ste 220a, San Jose, CA 951281473 | 4082958628 |
| Street Address |
2101 FOREST AVE STE 220A |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407045412 | Julie Tahli Chen | Internal Medicine | 2101 Forest Ave Ste 220a, San Jose, CA 95128-1473 | 2007-10-16 |
| 1245499045 | Jonelon Gabriel Tsang | Anesthesiology | 2101 Forest Ave Ste 220a, San Jose, CA 95128 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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 |
|---|---|---|---|---|
| 1932734365 | La K Dinh | Nurse Practitioner | 749 Story Rd Ste 20, San Jose, CA 95122-2600 | 2020-03-05 |
| 1568012144 | Mandeep Kaur Gill | Nurse Practitioner | 4735 Hamilton Ave Ste 80, San Jose, CA 95130-1769 | 2019-09-16 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1770084246 | Amisha Oza | Nurse Practitioner | 1432 W San Carlos St Ste 10, San Jose, CA 95126-5409 | 2018-02-21 |
| 1376041459 | Karina Dempsey | Nurse Practitioner | 2264 Winepol Loop, San Jose, CA 95125-6636 | 2018-01-24 |
| 1316466139 | Melinda Fike Vertin | Nurse Practitioner | 970 Glenridge Dr., San Jose, CA 95136 | 2017-09-12 |
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356862163 | Natasha Michon Ruiz | Nurse Practitioner | 2516 Samaritan Dr Ste M, San Jose, CA 95124-4108 | 2017-06-30 |
| 1598203408 | Lea Revita Lopez | Nurse Practitioner | 751 S Bascom Ave Bldg Q, Otolaryngology/head and Neck Surgery, San Jose, CA 95128-2604 | 2017-02-10 |
| 1053719492 | Marie Cardine Preval | Nurse Practitioner | 4400 The Woods Dr Apt 2033, San Jose, CA 95136-3867 | 2014-12-17 |
| Find all providers in SAN JOSE | ||||
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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.