PATRICIA MARIE GRESHAM (NPI# 1912043407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912043407 |
| Entity Type | Individual |
| Full Name | PATRICIA MARIE GRESHAM |
| Credential | ANP |
| Practice Address |
6733 N Willow Ave Ste 107 Fresno CA 93710-5953 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5594354700 |
| Practice Fax Number | 5592987951 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 13225 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6733 N WILLOW AVE STE 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015906 | David W Lee | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2006-05-30 |
| 1235516147 | Paymon Ebrahimzadeh | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2015-04-29 |
| 1326433350 | Kyle Mejia Almodovar | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2015-04-06 |
| 1942437819 | Mohamed A Fayed | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2009-06-17 |
| 1992840490 | Eyad Almasri | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2007-02-21 |
| 1528176500 | Lynn Annette Keenan | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2006-08-29 |
| 1073532529 | Karl P Vangundy | Internal Medicine | 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754963 | Jaspreet Kaur | Nurse Practitioner | 5810 E Laurite Ave, Fresno, CA 93727-9040 | 2020-03-12 |
| 1194351981 | Marian Montes | Nurse Practitioner | 6780 N West Ave Ste 101, Fresno, CA 93711-4305 | 2020-03-12 |
| 1821633082 | Ravneet Kaur | Nurse Practitioner | 6069 N 1st St, Fresno, CA 93710-5467 | 2019-11-12 |
| 1932674850 | Jacqueline Carino | Nurse Practitioner | 7215 N Fresno St Ste 101, Fresno, CA 93720-2969 | 2018-10-07 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1669915666 | Jehnette R Lopez | Nurse Practitioner | 45 River Park Place West, Suite 104, Fresno, CA 93720-1565 | 2016-11-22 |
| 1942653415 | Carolyn Ferguson | Nurse Practitioner | 1255 E. Herndon, Fresno, CA 93720-0000 | 2016-07-19 |
| 1144688524 | Kathy Donohue I | Nurse Practitioner | 3694 W Fir Ave, Fresno, CA 93711-0617 | 2016-02-01 |
| 1154787786 | Neeraj Juneja | Nurse Practitioner | 7202 N Millbrook Ave Ste 202, Fresno, CA 93720 | 2016-01-12 |
| 1447642145 | Omni Women's Health | Nurse Practitioner | 3812 N First St, Fresno, CA 93726 | 2015-03-04 |
| Find all providers in FRESNO | ||||
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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.