KATRINA MARIE NGUYEN (NPI# 1962013854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962013854 |
| Entity Type | Individual |
| Full Name | KATRINA MARIE NGUYEN |
| Credential | FNP |
| Practice Address |
2415 W Vine St Ste 105 Lodi CA 95242-3731 |
| Mailing Address |
7210 Murray Dr Stockton CA 95210-3339 |
| Practice Telephone | 2093333121 |
| Practice Fax Number | 2097626808 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2097626808 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95015121 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682735 | Katrina Nguyen | Behavioral Analyst | 1010 Wayne Ave Ste 675, Silver Spring, MD 20910 | 2017-11-10 |
| 1114287356 | Katrina Nguyen | Pharmacist | 765 E Foothill Blvd, San Luis Obispo, CA 93405-1617 | 2012-05-22 |
| 1376826990 | Katrina Tam-anh Nguyen | Pharmacist | 5961 La Palma Ave, La Palma, CA 90623-2134 | 2011-09-20 |
| 1346441656 | Katrina Skoog Nguyen | Emergency Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-05-31 |
| Street Address |
2415 W VINE ST STE 105 |
| City | LODI |
| State | CA |
| Zip Code | 95242-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306855523 | Lodi Memorial Hospital Association Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2006-08-05 |
| 1164087268 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2019-05-03 |
| 1659640183 | Jose Duarte Parra | Family Medicine | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2011-12-29 |
| 1134326275 | Than Soe | Internal Medicine | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2007-07-02 |
| 1932212008 | Alice Zapp | Nurse Practitioner | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356972 | Ana Mariel Builes | Nurse Practitioner | 552 Harrison Ave, Lodi, NJ 07644-1137 | 2020-01-30 |
| 1437649779 | Arturo Nicolas De Leon | Nurse Practitioner | 1235 W Vine St Ste 22, Lodi, CA 95240-5144 | 2018-05-12 |
| 1831468255 | Katherine Redmond-larimer | Nurse Practitioner | 975 S. Fairmont Avenue, Lodi, CA 95240 | 2011-12-14 |
| 1811212111 | Julie Lynn Jerome | Nurse Practitioner | 2407 West Vine Street, Suite A, Lodi, CA 95242-3730 | 2010-03-30 |
| 1275514101 | Catherine Mary Jennings | Nurse Practitioner | 262 S Main St, Lodi, NJ 07644-2117 | 2005-11-08 |
| 1306494539 | Ashley Hurst | Nurse Practitioner | 2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 | 2019-08-30 |
| 1346715307 | Birhanu Z. Admassie | Nurse Practitioner | 2122 W Kettleman Ln, Lodi, CA 95242 | 2018-10-05 |
| 1437644556 | Brittany Luiz | Nurse Practitioner | 1520 W Kettleman Ln, Lodi, CA 95242-9290 | 2018-06-30 |
| 1902332299 | Brittny Queden | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2017-05-04 |
| 1659773661 | Kristin Carrie Trill | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2014-09-22 |
| Find all providers in LODI | ||||
Please comment or provide details below to improve the information on KATRINA MARIE NGUYEN.
| 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.