MARK NOEL FORRETTE (NPI# 1932180320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932180320 |
| Entity Type | Individual |
| Full Name | MARK NOEL FORRETTE |
| Credential | FNP |
| Practice Address |
200 Mission Blvd Jackson CA 95642-2564 |
| Practice Telephone | 2092237500 |
| Mailing Telephone | 2092237500 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10805 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN296480 | 05 |
| Street Address |
200 MISSION BLVD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801374434 | Hospitalist Medicine Physicians of California - Jackson, PC | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 2018-08-06 |
| 1336525609 | Michelle Ann Wong | Physician Assistant | 200 Mission Blvd, 1st Floor, Jackson, CA 95642-2564 | 2015-08-10 |
| 1932440781 | Surgical Affiliates of California | Surgery | 200 Mission Blvd, Jackson, CA 95642-2564 | 2013-03-04 |
| 1720384589 | Kim Marie Vagt | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2011-01-26 |
| 1063714517 | Mary Michelle Vanfossan | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-12-03 |
| 1568779072 | Krystin Granger | Anesthesiology | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-09-03 |
| 1629396122 | Harkanwal Singh | Hospitalist | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-05-07 |
| 1821322215 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-10-01 |
| 1447494323 | Sutter Valley Hospitals | General Acute Care Hospital | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-04-23 |
| 1285890319 | Sound Inpatient Physicians Medical Group | Hospitalist | 200 Mission Blvd, Jackson, CA 95642-2564 | 2008-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.