KRISTINA ETLING (NPI# 1669013165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669013165 |
| Entity Type | Individual |
| Full Name | KRISTINA ETLING |
| Credential | M.S.; APCC |
| Practice Address |
1234 Empire St Ste 2200 Fairfield CA 94533-5711 |
| Mailing Address |
201 Kildare Ln Vacaville CA 95688-9377 |
| Practice Telephone | 6503724080 |
| Mailing Telephone | 6825978206 |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
APCC6206 | CA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1234 EMPIRE ST STE 2200 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015203 | Les Paul Kalman | Psychiatry & Neurology | 1234 Empire St Ste 2200, Fairfield, CA 94533 | 2006-05-28 |
| 1912504069 | Yesenia Vazquez | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-10-01 |
| 1275147373 | Claire Cepeda Kelley | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-09-04 |
| 1568070241 | Carleta Dover | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-07-17 |
| 1316561269 | Jaymar Binag | Licensed Vocational Nurse | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2020-06-05 |
| 1437710027 | Tracy Lynn Epps | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2019-06-24 |
| 1083270813 | Luis J Castillo | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2019-05-16 |
| 1265903199 | Angelica Naranjo | Case Manager/Care Coordinator | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2018-12-17 |
| 1174003669 | Fannette Scott | Counselor | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2018-08-15 |
| 1114417854 | Olukemi A Kuku-ojo | Nurse Practitioner | 1234 Empire St Ste 2200, Fairfield, CA 94533 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756517 | Kara Yass LLC | Counselor | 1401 Post Rd, Fairfield, CT 06824-5907 | 2019-08-20 |
| 1396390423 | Susan S Starkie LLC | Counselor | 156 Round Hill Rd, Fairfield, CT 06824-5114 | 2019-08-06 |
| 1710549399 | Susan Starkie | Counselor | 156 Round Hill Rd Ste A, Fairfield, CT 06824-5114 | 2019-07-03 |
| 1710455373 | Samimah Aziz | Counselor | 1545 Webster St Ste A, Fairfield, CA 94533-4917 | 2018-11-12 |
| 1770059131 | Mallory Bonarrigo | Counselor | 168 Chatham Rd, Fairfield, CT 06825-1402 | 2018-10-23 |
| 1952881690 | Shen Counseling, LLC | Counselor | 263 Mill River Rd, Fairfield, CT 06824-2958 | 2018-08-21 |
| 1922525005 | Lauren Cuccaro Rinn | Counselor | 34 Sherman Ct Fl 2, Fairfield, CT 06824-5826 | 2017-08-29 |
| 1881054351 | Maurice Geddis | Counselor | 1234 Empire St Fl 2, Suite2300, Fairfield, CA 94533-5711 | 2016-02-26 |
| 1013373661 | Melissa Pardi | Counselor | 435 Mountain Meadows Dr, Fairfield, CA 94534-6714 | 2016-01-12 |
| 1932579794 | Megan Ann Burton | Counselor | 630 5th Ave North, Fairfield, MT 59436 | 2015-10-05 |
| Find all providers in FAIRFIELD | ||||
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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.