KELCIE PINICK BRAGG (NPI# 1912447624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912447624 |
Entity Type | Individual |
Full Name | KELCIE PINICK BRAGG |
Credential | DNP, CPNP-AC |
Practice Address |
2093 Swan Dr Costa Mesa CA 92626-4765 |
Practice Telephone | 7142227824 |
Mailing Telephone | 7142227824 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2020-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
95006241 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2093 SWAN DR |
City | COSTA MESA |
State | CA |
Zip Code | 92626-4765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
Find all providers in zip 92626 |
Taxonomy Code | 363LP0222X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427668615 | Nicole Monk | Nurse Practitioner | 1331 W Avenue J Ste 206, Lancaster, CA 93534-2954 | 2020-08-03 |
1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
1144701392 | Kaila Alexandra Spafford Brereton | Nurse Practitioner | 1358 17th Ave, San Francisco, CA 94122-1939 | 2018-08-26 |
1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
1568987261 | Janna Alene Bennett | Nurse Practitioner | 67 Yolanda Dr, San Anselmo, CA 94960 | 2017-08-03 |
1639623630 | Sarah Meyer | Nurse Practitioner | 1326 Amherst Ave Apt 5, Los Angeles, CA 90025-2056 | 2016-08-08 |
1205299187 | Alice Rachel Parker | Nurse Practitioner | 1975 4th Street, Box 550, Ucsf Benioff Children's Hospital, San Francisco, CA 94158-2351 | 2016-03-30 |
1952643579 | Denise Colleen Schiel | Nurse Practitioner | 3030 Childrens Way Ste 115, San Diego, CA 92123-4226 | 2013-03-21 |
1093095028 | Meredith M Lahey | Nurse Practitioner | 77 Paseo Mirasol, Tiburon, CA 94920-2079 | 2011-08-22 |
1851609770 | Jo-ann Marilyn Casenas Castanares | Nurse Practitioner | 3444 Robinson Drive, Oakland, CA 94602-4138 | 2010-09-14 |
Find all providers with the same taxonomy |
City | COSTA MESA |
Zip Code | 92626 |
Please comment or provide details below to improve the information on KELCIE PINICK BRAGG.
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.