MICHAEL NORBERT NYSTROM (NPI# 1992976757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992976757 |
| Entity Type | Individual |
| Full Name | MICHAEL NORBERT NYSTROM |
| Practice Address |
1860 Walnut St Red Bluff CA 96080-3611 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305275637 |
| Mailing Telephone | 5305275637 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316274871 | Michael John Nystrom | Pathology | 2338 21st Ave, San Francisco, CA 94116-2430 | 2009-11-04 |
| Street Address |
1860 WALNUT ST |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245253475 | Jenna Quinn | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2006-07-26 |
| 1902414923 | Nathan Watson | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
| 1285272781 | Lorenna Leon | Community Based Residential Treatment Facility, Mental Illness | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-12-15 |
| 1588223036 | Amber L Wilson | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-06-09 |
| 1003378381 | Rachael Waltz | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-04-04 |
| 1790253987 | Desiree De Palma | Home Health Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-06 |
| 1548736879 | Megan Sundblad | Licensed Psychiatric Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-14 |
| 1144795311 | Noemi Avila-reyes | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-03 |
| 1194202366 | Morgan Vazquez | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080 | 2018-07-20 |
| 1760996870 | Amanda Mackenzie Swanson | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952536039 | Susan J Danis | Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2009-05-19 |
| 1386879583 | Phoebe Gail Mcgill | Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2009-05-18 |
| 1104097005 | Roxanna Lee Ryant | Technician | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2008-03-18 |
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| 1033724729 | Cinta Latrece Moore | Technician | 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 | 2020-09-10 |
| 1598379398 | Trina Diane Brown | Technician | 115 W Zane St, Long Beach, CA 90805-6327 | 2020-08-31 |
| 1437760766 | Jeri Lyn Allen-smith | Technician | 9228 Allano Way, Santee, CA 92071-2202 | 2020-08-11 |
| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
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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.