RITA MARIE HAVERKAMP (NPI# 1710184577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710184577 |
| Entity Type | Individual |
| Full Name | RITA MARIE HAVERKAMP |
| Credential | RN, CNS |
| Practice Address |
8080 Parkway Dr La Mesa CA 91942-2104 |
| Practice Telephone | 6195893313 |
| Practice Fax Number | 6195893260 |
| Mailing Telephone | 6195893313 |
| Mailing Fax Number | 6195893260 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
CA | Nursing Service Providers |
| Street Address |
8080 PARKWAY DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235101346 | Minal Damani Jackson | Dermatology | 8080 Parkway Dr, La Mesa Medical Offices, La Mesa, CA 91942-2104 | 2006-02-02 |
| 1063050482 | Joseph Kim | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2019-12-16 |
| 1841757572 | Ronnie Hannosh | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2019-02-28 |
| 1447737978 | Erika Mae M Reyes | Behavior Technician | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2018-07-26 |
| 1346786159 | Truc Nguyen | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2017-01-17 |
| 1033596168 | Jonathan Brick | Family Medicine | 8080 Parkway Dr, La Mesa, CA 91942 | 2015-04-27 |
| 1689082794 | Rina Patel | Pharmacist | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2014-08-01 |
| 1992130470 | Austin Leialoha Howard | Internal Medicine | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2013-09-04 |
| 1093152894 | Jungook Devin Shin | Family Medicine | 8080 Parkway Dr, La Mesa, CA 91942-2104 | 2013-06-03 |
| 1992067508 | Jennifer Kim | Family Medicine | 8080 Parkway Dr, 2nd Fl, La Mesa, CA 91942-2104 | 2012-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
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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.