KATIE KENEFICK CREAN-TATE (NPI# 1811293780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811293780 |
| Entity Type | Individual |
| Full Name | KATIE KENEFICK CREAN-TATE |
| Credential | M.D. |
| Practice Address |
2800 L St Ste 300 Sacramento CA 95816-5616 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167334440 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A133238 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 130754 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2800 L ST STE 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
| 1871928135 | Vira Budnevska-sira | Physician Assistant | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2013-09-05 |
| 1043659634 | Christa Dominick | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2013-06-18 |
| 1336454669 | Sonia E Samaniego | Social Worker | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2010-08-11 |
| 1578713848 | Phyllis Evelyn Napoles | Surgery | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841713732 | Wellspace Health Professional Health Center for Women | Obstetrics & Gynecology | 4150 Truxel Rd Ste C, Sacramento, CA 95834-3761 | 2017-07-21 |
| 1548716020 | Nicole Gabrielle Gomez | Obstetrics & Gynecology | 2610 O St, Apt A, Sacramento, CA 95816-6368 | 2016-08-25 |
| 1568758472 | Kathleen Ann Rooney | Obstetrics & Gynecology | 2277 Fair Oaks Blvd 355, Sacramento, CA 95825-5595 | 2011-06-20 |
| 1972814671 | Laura Elizabeth Watters | Obstetrics & Gynecology | 77 Cadillac Dr Ste 230, Sacramento, CA 95825-5480 | 2010-06-28 |
| 1285963843 | Amanda L Shepherd | Obstetrics & Gynecology | 5320 N St, Sacramento, CA 95819-4132 | 2009-12-10 |
| 1003048786 | Hailey Rose Macnear | Obstetrics & Gynecology | 2277 Fair Oaks Blvd Ste 355, Sacramento, CA 95825-5595 | 2009-08-14 |
| 1578744454 | Mala Ashok Medical Corporation | Obstetrics & Gynecology | 112 Fountain Oaks Cir, 250, Sacramento, CA 95831-3967 | 2007-11-19 |
| 1144422056 | Akiba Edo Green | Obstetrics & Gynecology | 3201 S St, 188, Sacramento, CA 95816-7078 | 2007-06-03 |
| 1801005970 | Carolyn Cupps Davis | Obstetrics & Gynecology | 2864 El Prado Way, Sacramento, CA 95825-1835 | 2007-05-22 |
| 1164643896 | Kristina Milan | Obstetrics & Gynecology | 1625 Stockton Blvd Ste 20, Sacramento, CA 95816-7097 | 2007-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.