STACEY KNEELAND (NPI# 1699287573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699287573 |
| Entity Type | Individual |
| Full Name | STACEY KNEELAND |
| Credential | RN |
| Practice Address |
1114 6th St Modesto CA 95354-2203 |
| Mailing Address |
1910 Customer Care Way Atwater CA 95301-5167 |
| Practice Telephone | 2095762845 |
| Mailing Telephone | 2093846493 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN805523 | TX | Nursing Service Providers |
| Street Address |
1114 6TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1679184386 | Elaina Joanne Najera | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2020-08-14 |
| 1093379752 | Natasha Neelum Douglass | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2019-04-29 |
| 1609349703 | Ankit Parikh | Pharmacist | 1114 6th St, Modesto, CA 95354-2203 | 2019-01-10 |
| 1699247155 | Theresa Nicole Creten | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2018-12-21 |
| 1063919561 | Kamalpreet Kaur | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2018-04-11 |
| 1679071658 | Araceli Martinez Perez | Social Worker | 1114 6th St, Modesto, CA 95354-2203 | 2018-01-25 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1124562939 | Paul Tugulumize Kiruuta | Registered Nurse | 1114 6th St, Modesto, CA 95354-2203 | 2016-12-13 |
| 1225582695 | Jaspreet Sandhu | Internal Medicine | 1114 6th St, Modesto, CA 95354-2203 | 2016-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 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 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776804 | Matthew Trevena | Registered Nurse | 1900 Natchez Way, Modesto, CA 95355-8713 | 2020-07-01 |
| 1609496256 | Morgan Teese | Registered Nurse | 2213 Mountain Quail Way, Modesto, CA 95355-9227 | 2020-04-23 |
| 1093263493 | Emem Ukpabio | Registered Nurse | 209 Kerr Ave, Modesto, CA 95354-3808 | 2016-09-14 |
| 1285085456 | Heather M Hollander | Registered Nurse | 1444 Florida Ave Ste 202, Modesto, CA 95350-4400 | 2016-06-28 |
| 1104235688 | Alejandra Robles Guzman | Registered Nurse | 830 Scenic Drive, Bldg. 3, Modesto, CA 95353-3127 | 2014-08-08 |
| 1750790697 | Kristin Wagoner | Registered Nurse | 2701 Fine Ave, Modesto, CA 95355-9773 | 2014-08-05 |
| 1285065334 | Sarah Romero | Registered Nurse | 1431 Mchenry Ave Ste 100, Modesto, CA 95350-4534 | 2013-11-27 |
| 1538402102 | Ann Lucille Bonfiglio | Registered Nurse | 1517 Meadow Grove St, Modesto, CA 95355-1126 | 2013-04-02 |
| 1497005086 | Melissa Nicole Arnold Padilla | Registered Nurse | 2604 Amir Dr, Modesto, CA 95355-8693 | 2012-09-11 |
| 1477826105 | Jerome M Azevedo | Registered Nurse | 1441 Flordia Avenue, Modesto, CA 95350 | 2012-02-10 |
| Find all providers in MODESTO | ||||
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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.