MRS. KERI BERBENA RODGERS (NPI# 1710012489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710012489 |
| Entity Type | Individual |
| Full Name | MRS. KERI BERBENA RODGERS |
| Credential | RN |
| Practice Address |
2215 Blue Gum Ave Modesto CA 95358-1052 |
| Practice Telephone | 2095255401 |
| Practice Fax Number | 2095255498 |
| Mailing Telephone | 2095255401 |
| Mailing Fax Number | 2095255498 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
532316 | CA | Nursing Service Providers |
| Street Address |
2215 BLUE GUM AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994745 | Joseph Aaron Quismondo Hernandez | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1073176566 | Ricardo Maravilla-garcia | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1609439199 | Gloria Cecilia Arroyo | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1962863795 | Norma Elena Ramirez | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2016-03-07 |
| 1013314574 | Rita Zabrina Preciado | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-29 |
| 1174920607 | Jessica Nicole Van Tuinen | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-26 |
| 1235539859 | Lisa Cortez | Social Worker | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-09-02 |
| 1851791941 | Jessica Herrera | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-08-26 |
| 1598194128 | Victoria Galvan | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2013-11-04 |
| 1043652944 | Scott Michael Charlton | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1598287906 | Janet Vargas | Registered Nurse | 1312 Pecos Ave, Modesto, CA 95351-4728 | 2017-07-07 |
| 1871982199 | Celeste Lascano | Registered Nurse | 3001 Hahn Dr Apt 354, Modesto, CA 95350-6585 | 2015-01-12 |
| 1558520114 | Kim Dale Goodrum | Registered Nurse | 825 Palmilla Dr, Modesto, CA 95356-1152 | 2008-06-08 |
| 1902093909 | Gayle Patricia Ivy | Registered Nurse | 3909 Trillium Ave, Modesto, CA 95356-1319 | 2007-10-03 |
| 1871792952 | Mary Lynn Miller | Registered Nurse | 500 N 9th St Ste C, Modesto, CA 95350-5814 | 2007-07-17 |
| 1962523225 | Koni Del Nugent | Registered Nurse | 1912 Post Oak Dr, Modesto, CA 95354-1634 | 2007-04-03 |
| 1104946946 | Melissa Alane Sanchez | Registered Nurse | 1829 Savoie Way, Modesto, CA 95356-8947 | 2007-03-29 |
| 1922132802 | John Francis Gilmore | Registered Nurse | 920 12th Street, Modesto, CA 95354 | 2007-03-15 |
| 1013078682 | Yelice Corea | Registered Nurse | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2006-12-13 |
| 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.