ATHENA M OLIQUIANO (NPI# 1730722653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730722653 |
Entity Type | Individual |
Full Name | ATHENA M OLIQUIANO |
Practice Address |
2615 E Clinton Ave Fresno CA 93703-2223 |
Mailing Address |
6166 E Homan Ave Fresno CA 93727-8848 |
Practice Telephone | 5592256100 |
Mailing Telephone | 5594305445 |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95012021 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2615 E CLINTON AVE |
City | FRESNO |
State | CA |
Zip Code | 93703-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508862335 | Gene Raymond Conley | Internal Medicine | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2005-06-27 |
1699372839 | Shannon Mondry | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-10-01 |
1285249276 | Lauren La Violette | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-15 |
1982218251 | Ariel Celeste Sojourner Reid | Psychologist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-03 |
1477164432 | Claire Henry | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-08-13 |
1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
1346864600 | Maria Luisa Kitongan Akia | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-02 |
1528681376 | Sharon Heng | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
Find all providers in zip 93703 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
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1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
1740847094 | Rosamond Claire Valckenier De Greeve | Nurse Practitioner | 521 N Mountain Ave Ste S, Upland, CA 91786-8507 | 2019-05-22 |
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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.