TRISTAN RENEE BOWMAN (NPI# 1669987301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669987301 |
| Entity Type | Individual |
| Full Name | TRISTAN RENEE BOWMAN |
| Practice Address |
1700 Mchenry Way Modesto CA 95354 |
| Practice Telephone | 2095505869 |
| Practice Fax Number | 2095230442 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1700 MCHENRY WAY |
| City | MODESTO |
| State | CA |
| Zip Code | 95354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| 1043533417 | Dianne Michelle Hinton | Nurse Practitioner | 1724 G. Street, Modesto, CA 95354 | 2010-03-12 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168219 | Kourosh Mehrazar | Student in an Organized Health Care Education/Training Program | 1405 Villette Ct, Modesto, CA 95356-8904 | 2019-05-02 |
| 1609439793 | Sylvia Margarita Castro | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave # 102, Modesto, CA 95350-4404 | 2019-04-15 |
| 1427518422 | Maham Rehman | Student in an Organized Health Care Education/Training Program | 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 | 2019-03-25 |
| 1609334929 | Yaira Denis Aguilar | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 | 2019-03-05 |
| 1346727922 | Jorge Anguiano | Student in an Organized Health Care Education/Training Program | 821 Crippen Ave, Modesto, CA 95351-7700 | 2018-07-26 |
| 1740796648 | Paloma Angelica Parra | Student in an Organized Health Care Education/Training Program | 1400 K St Ste I, Modesto, CA 95354-1018 | 2017-12-15 |
| 1326575002 | Rim Amare Gebremariam | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 | 2017-05-12 |
| 1023557543 | Jasmine Dominique Brooks | Student in an Organized Health Care Education/Training Program | 2521 Pescadero Pl, Modesto, CA 95355-3439 | 2017-02-16 |
| 1225408412 | Raman Benjamin | Student in an Organized Health Care Education/Training Program | 2800 Wind River Ct, Modesto, CA 95356-9383 | 2015-09-30 |
| 1891182424 | Carly Sequeira | Student in an Organized Health Care Education/Training Program | 1321 Normandy Dr, Modesto, CA 95351-2328 | 2015-04-21 |
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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.