PETRINA J BEUGRE (NPI# 1760007991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760007991 |
Entity Type | Individual |
Full Name | PETRINA J BEUGRE |
Credential | REGISTERED NURSE |
Practice Address |
110 Cedar Pointe Loop Apt 1004 San Ramon CA 94583-4198 |
Practice Telephone | 9258566087 |
Practice Fax Number | 9252375886 |
Mailing Telephone | 9258566087 |
Mailing Fax Number | 9252375886 |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA2000X |
Registered Nurse Specialization: Administrator |
95025930 | CA | Nursing Service Providers |
Y | 364SI0800X |
Clinical Nurse Specialist Specialization: Informatics |
95025930 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
110 CEDAR POINTE LOOP APT 1004 |
City | SAN RAMON |
State | CA |
Zip Code | 94583-4198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
Find all providers in zip 94583 |
Taxonomy Code | 364SI0800X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Informatics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629421367 | Theresa Settergren | Clinical Nurse Specialist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2016-07-18 |
Please comment or provide details below to improve the information on PETRINA J BEUGRE.
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.