CHARISMA VAN SICKLE (NPI# 1780103051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780103051 |
Entity Type | Individual |
Full Name | CHARISMA VAN SICKLE |
Credential | FNP |
Practice Address |
1691 The Alameda San Jose CA 95126-2203 |
Practice Telephone | 4082877526 |
Practice Fax Number | 4089716963 |
Mailing Telephone | 4087953619 |
Mailing Fax Number | 4087953619 |
Enumeration Date | 2017-09-18 |
Last Update Date | 2017-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
820982 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1691 THE ALAMEDA |
City | SAN JOSE |
State | CA |
Zip Code | 95126-2203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043263189 | Planned Parenthood Mar Monte, Inc | Non-Pharmacy Dispensing Site | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-05-18 |
1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
1841850252 | Lydia Marsalli | Nurse Practitioner | 1691 The Alameda, San Jose, CA 95126-2203 | 2019-06-18 |
1275192395 | Daniela Ixmucane Rodriguez-jaquez | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2019-06-12 |
1790344802 | Pamela Joanne Radgowski | Registered Nurse | 1691 The Alameda, San Jose, CA 95126-2203 | 2019-06-12 |
1992262273 | Emmalie Gabel Salvador | Registered Nurse | 1691 The Alameda, San Jose, CA 95126-2203 | 2019-02-22 |
1427543677 | Emma Weiss | Registered Nurse | 1691 The Alameda, San Jose, CA 95126-2203 | 2018-06-28 |
1861933095 | Teresa Robbins | Family Medicine | 1691 The Alameda, San Jose, CA 95126-2203 | 2017-03-20 |
1588026561 | Planned Parenthood Pasadena and San Gabriel Valley, Inc. | Clinical Medical Laboratory | 1691 The Alameda, San Jose, CA 95126-2203 | 2016-03-28 |
1194186593 | Nataliya B Shnayder | Registered Nurse | 1691 The Alameda, San Jose, CA 95126-2203 | 2016-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
Find all providers in zip 95126 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565738 | Lena Kil | Nurse Practitioner | 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 | 2020-10-09 |
1740893858 | Esther Kiang | Nurse Practitioner | 1072 E Santa Clara St, San Jose, CA 95116-2245 | 2020-08-28 |
1902419575 | Leonard Iskander | Nurse Practitioner | 1146 Summerpark Ct, San Jose, CA 95132-2944 | 2020-08-25 |
1760004055 | Destiny Ann Brewer | Nurse Practitioner | 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 | 2020-05-11 |
1841825148 | Marta Anna Sivarajah | Nurse Practitioner | 255 N. White Rd., San Jose, CA 95127-1966 | 2020-03-06 |
1114567500 | Sabine Dorothea Haas | Nurse Practitioner | 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 | 2020-01-14 |
1861033870 | Jessica Gutierrez | Nurse Practitioner | 635 S 11th St Apt 14, San Jose, CA 95112-2343 | 2019-10-01 |
1124589379 | Yvonne Ndeh | Nurse Practitioner | 418 Shadowgraph Dr, San Jose, CA 95110-3564 | 2019-03-29 |
1588139661 | Vicky Chi Lin | Nurse Practitioner | 100 Oak St Rm F-3, San Jose, CA 95110-2817 | 2018-10-04 |
1851884381 | Anh Tuan Huynh | Nurse Practitioner | 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 | 2018-06-09 |
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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.