TANIESHA MCKINLEY (NPI# 1770009821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770009821 |
| Entity Type | Individual |
| Full Name | TANIESHA MCKINLEY |
| Practice Address |
2101 Courage Dr. Fairfield CA 94533 |
| Mailing Address |
830 B St San Rafael CA 94901-3003 |
| Practice Telephone | 7076394680 |
| Mailing Telephone | 4154595843 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2101 COURAGE DR. |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280922 | Franklin Woo | Dentist | 2101 Courage Dr., Ms 10-300, Fairfield, CA 94533 | 2006-10-18 |
| 1235657305 | Justin Lance Rogers Jr. | Licensed Vocational Nurse | 2101 Courage Dr., Fairfield, CA 94533 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346351830 | Rehabilitation Associates of Ct., Inc. | Rehabilitation Practitioner | 41 Old Coach Rd, Fairfield, CT 06824-2244 | 2006-08-31 |
| 1659347300 | Rehabilitation Associates, Inc. | Rehabilitation Practitioner | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-02-23 |
| 1326544883 | Jany Lee | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2018-04-03 |
| 1023521697 | Bonnie Jimenez | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-11-06 |
| 1871010629 | Fidelia Onyejekwe | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-08-23 |
| 1366966103 | Jomarck Arca | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-08-02 |
| 1881118750 | Jasmine Sims | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-08-01 |
| 1770007650 | Jessica O'donnell | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533 | 2017-08-01 |
| 1700300670 | Paul Millard | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-08-01 |
| 1457871444 | Loreal Barber | Rehabilitation Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2017-06-21 |
| Find all providers in FAIRFIELD | ||||
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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.