CAROL ANN CRUISE, PHN (NPI# 1992924971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992924971 |
| Entity Type | Individual |
| Full Name | CAROL ANN CRUISE, PHN |
| Other Name | CAROL ANNE CRUISE, PHN |
| Credential | RN, PHN, BSN |
| Practice Address |
1175 Bel Arbres Dr Redwood Valley CA 95470-9695 |
| Practice Telephone | 7074850129 |
| Mailing Telephone | 7074850129 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN 139146 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CGP161897 | 05 |
| Street Address |
1175 BEL ARBRES DR |
| City | REDWOOD VALLEY |
| State | CA |
| Zip Code | 95470-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225251531 | James Robert Cruise I | Internal Medicine | 1175 Bel Arbres Dr, Redwood Valley, CA 95470-9695 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792783 | Salina Benitez | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2016-11-16 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1104459585 | Kara-faye Ingram | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2020-02-13 |
| 1104457266 | Dominique Serna-heal | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-28 |
| 1598395287 | Stephanie Campos | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-22 |
| 1003452566 | Salina Perales | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1023654464 | Jasmine Quilter | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-20 |
| 1871139360 | Eliyah Smith | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1821633421 | Zobeyda Bojorquez | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-07 |
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Find all providers in zip 95470 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889895 | Ann Marie Luke | Registered Nurse | 6991 N State St, Redwood Valley, CA 95470-9629 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD VALLEY |
| Zip Code | 95470 |
Please comment or provide details below to improve the information on CAROL ANN CRUISE, PHN.
| 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.