NATALIA LACKO (NPI# 1720304579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720304579 |
| Entity Type | Individual |
| Full Name | NATALIA LACKO |
| Credential | RN |
| Practice Address |
1112 Marin Ave Modesto CA 95358-7205 |
| Practice Telephone | 2094179967 |
| Mailing Telephone | 2094179967 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
733162 | CA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
733162 | CA | Nursing Service Providers |
| Street Address |
1112 MARIN AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-7205 |
| 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 | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417342270 | Arlene Presinal | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2015-03-30 |
| 1184023129 | Rebecca Evans | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-08-15 |
| 1649697038 | Corrin Geibig | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2014-03-24 |
| 1093138174 | Guadalupe Tovar | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-27 |
| 1316298920 | Leslie Crisostomo | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2012-09-21 |
| 1417278318 | Beverly Eldridge | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2010-06-15 |
| 1043530983 | Ginger Rose Merrill | Registered Nurse | 830 Scenic Dr Bldg 3, Modesto, CA 95350-6131 | 2010-06-02 |
| 1437333697 | Veronica C Pehl | Registered Nurse | 830 Scenic Dr Bldg 3, Modesto, CA 95350-6131 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1760081988 | Christine J. Wilson | Registered Nurse | 15007 Hartland St, Van Nuys, CA 91405-3714 | 2020-10-19 |
| 1407466899 | Pamela Ann Engelke | Registered Nurse | 240 Nice Ln Apt 117, Newport Beach, CA 92663-2652 | 2020-07-31 |
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1932724689 | Deborah Ruth Toga | Registered Nurse | 587 Prospect Blvd, Pasadena, CA 91103-3235 | 2020-06-09 |
| 1750904066 | Emer Gaite | Registered Nurse | 1697 Greenyard Ct, Brentwood, CA 94513-5844 | 2020-05-20 |
| 1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
| 1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
| 1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
| 1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.