KARI ANNE CORDERO (NPI# 1982913489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982913489 |
| Entity Type | Individual |
| Full Name | KARI ANNE CORDERO |
| Practice Address |
470 Chadbourne Rd Ste E Fairfield CA 94534-9620 |
| Practice Telephone | 7074259670 |
| Practice Fax Number | 7074259880 |
| Mailing Telephone | 7074259670 |
| Mailing Fax Number | 7074259880 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2014-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
632809 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95001624 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
470 CHADBOURNE RD STE E |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942353636 | Maria Louise Harris | Social Worker | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2007-01-18 |
| 1265050967 | Shalonda Monique Smith | Student in an Organized Health Care Education/Training Program | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2020-07-09 |
| 1043836174 | Sofia Palma | Social Worker | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2020-06-24 |
| 1124508346 | Ana Mercedes Roman | Community Health Worker | 470 Chadbourne Rd Ste E, Fairfield, CA 94534 | 2018-08-16 |
| 1184143679 | Sheng Lee | Student in an Organized Health Care Education/Training Program | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2017-09-15 |
| 1578007431 | Angel Manasa Grossman | Counselor | 470 Chadbourne Rd Ste E, Fairfield, CA 94534 | 2016-12-12 |
| 1083079065 | Nunilo M Cambel | Marriage & Family Therapist | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2015-12-17 |
| 1881076693 | Laura Monica Cacho Mendoza | Counselor | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2015-06-29 |
| 1811377013 | Melissa Cook | Marriage & Family Therapist | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2015-06-02 |
| 1194123885 | Julie Kae Falicki | Marriage & Family Therapist | 470 Chadbourne Rd Ste E, Fairfield, CA 94534-9620 | 2014-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1699336073 | Theodore Hendrickson | Nurse Practitioner | 43 Robert Ln, Fairfield, CT 06824-2918 | 2019-06-26 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1689822835 | Ann Marie Fulton | Nurse Practitioner | 640 Glenna Dr, Fairfield, OH 45014-2719 | 2008-08-29 |
| 1609496033 | Angela Dossett | Nurse Practitioner | 301 W Burlington Ave, Fairfield, IA 52556-3242 | 2020-04-27 |
| 1114417854 | Olukemi A Kuku-ojo | Nurse Practitioner | 1234 Empire St Ste 2200, Fairfield, CA 94533 | 2018-05-17 |
| 1083110092 | Laura Petiford Pmhnp, LLC | Nurse Practitioner | 1525 Kings Hwy Ste 206, Fairfield, CT 06824-5321 | 2018-03-30 |
| 1346786704 | Hiedi Lane Arnp, Pllc | Nurse Practitioner | 1101 E Hempstead Ave, Fairfield, IA 52556-3035 | 2017-01-10 |
| 1467994244 | Jeffrey Leininger | Nurse Practitioner | 1234 Empire St Ste 2200, Fairfield, CA 94533-5711 | 2016-11-10 |
| 1528415163 | Angela Saini | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2016-05-24 |
| Find all providers in FAIRFIELD | ||||
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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.