MISS JOANN FREDDIE SKOUFIS (NPI# 1669816328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669816328 |
| Entity Type | Individual |
| Full Name | MISS JOANN FREDDIE SKOUFIS |
| Credential | PNP |
| Practice Address |
2505 E Divisadero St Fresno CA 93721-1401 |
| Practice Telephone | 5594575500 |
| Mailing Telephone | 5594575500 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
16378 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2505 E DIVISADERO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858747 | Frances Williams | Nurse Practitioner | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2005-08-15 |
| 1346753019 | Ukamaka Onyia | Nurse Practitioner | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-11-15 |
| 1487163713 | Wendy Priscilla Rojas Acuna | Dentist | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-09-29 |
| 1912435637 | Hardeep Gill | Chiropractor | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-05-25 |
| 1326413675 | Wa Mee Vue | Physician Assistant | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2015-12-10 |
| 1366820748 | Mireya Cristina Sandoval | Student in an Organized Health Care Education/Training Program | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2015-05-18 |
| 1043659014 | Arvin Sanchez Fuentes | Student in an Organized Health Care Education/Training Program | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2013-06-22 |
| 1518300466 | Ronald Eric Doria Tamondong | Pediatrics | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2013-04-10 |
| 1184916579 | Mary Elizabeth Mclain | Family Medicine | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2011-05-04 |
| 1427375435 | Yang Jong Yang | Family Medicine | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2010-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1871079509 | Erika Varney | Nurse Practitioner | 6769 N Willow Ave Ste 101, Fresno, CA 93710-5900 | 2018-07-16 |
| 1962861179 | Mary Jo Graves | Nurse Practitioner | 7011 N Howard St Ste 202, Fresno, CA 93720-2955 | 2016-02-16 |
| 1114324738 | Cheryl Martinez | Nurse Practitioner | 1301 M St, Fresno, CA 93721-1807 | 2014-11-25 |
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1962574814 | Gloria Ann Liu | Nurse Practitioner | 4785 N. First Street, Kaiser Permanente, Fresno, CA 93726 | 2006-11-15 |
| 1043793466 | Jennifer Nelson | Nurse Practitioner | 7720 N Fresno St, Fresno, CA 93720-2407 | 2018-09-11 |
| 1336626209 | Jennifer Lee Ruch | Nurse Practitioner | 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 | 2018-07-24 |
| 1851819742 | Minal Patel | Nurse Practitioner | 2210 E Illinois Ave Ste 206, Fresno, CA 93701-2184 | 2017-08-31 |
| 1437694155 | Arsia Moua | Nurse Practitioner | 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | 2017-01-04 |
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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.