ELISSA HALLEN (NPI# 1780954503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780954503 |
| Entity Type | Individual |
| Full Name | ELISSA HALLEN |
| Credential | RN, CDE |
| Practice Address |
3555 Cesar Chavez Diabetes Center Room 230 San Francisco CA 94110-4403 |
| Mailing Address |
229 Craut St San Francisco CA 94112-1503 |
| Practice Telephone | 4155339293 |
| Practice Fax Number | 4156416829 |
| Mailing Telephone | 4155339293 |
| Mailing Fax Number | 4156416829 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
422033 | CA | Nursing Service Providers |
| Street Address |
3555 CESAR CHAVEZ DIABETES CENTER ROOM 230 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689655730 | John Bokelman | Radiology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2005-11-07 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1558901157 | Liliana Correa | Advanced Practice Midwife | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-01-10 |
| 1164072567 | April Jean Walter | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-09-17 |
| 1821648544 | Julia Leticia Guerrero | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-09-14 |
| 1235696584 | Enrique Reyes Ayalde Jr. | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-02-22 |
| 1952873291 | Justin J Rivard | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2018-12-27 |
| 1407202518 | Jacob Aaron | Internal Medicine | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2016-05-06 |
| 1265803795 | Savant Medical Services, A Med Corp | Physician Assistant | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2015-10-09 |
| 1518386416 | Scott Grubb | Anesthesiology | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2014-04-08 |
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|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
| 1376578013 | Catherine Vivian Dorey | Registered Nurse | 4150 Clement St # 118, San Francisco, CA 94121-1545 | 2006-07-11 |
| 1255718714 | Celyn Christine Figone | Registered Nurse | 3700 California St, San Francisco, CA 94118-1618 | 2015-05-04 |
| 1811316797 | Kathryn Cefalu | Registered Nurse | 3700 California St, San Francisco, CA 94118-1618 | 2014-04-08 |
| 1497953731 | Amalia D Fyles | Registered Nurse | 1001 Potrero Ave, San Francisc General Hosp.,1m42, San Francisco, CA 94110-3518 | 2007-07-09 |
| 1427124098 | Gabull Mohamed Alhadhrami | Registered Nurse | 2200 Ofarrell St, Second Floor, San Francisco, CA 94115-3357 | 2006-11-27 |
| 1184797003 | Peggy Huang | Registered Nurse | 1520 Stockton Street, San Francisco, CA 94133-3354 | 2006-11-16 |
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|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1215424411 | Esperanza G Gray | Registered Nurse | 18370 Burbank Bl Suite 204, Tarzana, CA 91356-2890 | 2018-04-13 |
| 1154826980 | Core Revive / Soul Revive LLC | Registered Nurse | 16 Queens Ln, Petaluma, CA 94952-1047 | 2018-03-26 |
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| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.