CARMEN LILY CARROUCHE (NPI# 1043451198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043451198 |
| Entity Type | Individual |
| Full Name | CARMEN LILY CARROUCHE |
| Credential | RN, CNS, PMH-NP |
| Practice Address |
16 Ritter St San Rafael CA 94901-3323 |
| Practice Telephone | 4154578182 |
| Practice Fax Number | 4154573490 |
| Mailing Telephone | 4154578182 |
| Mailing Fax Number | 4154573490 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2013-11-01 |
| 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 |
510142 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
23466 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16 RITTER ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962611236 | Anne O'neal Poore | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2007-05-22 |
| 1649758962 | Joseph Bernard Charles | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2018-07-30 |
| 1427585264 | Nicolette Christine Gottuso | Counselor | 16 Ritter St, San Rafael, CA 94901-3323 | 2017-05-11 |
| 1881059210 | Dominique Mc Dowell | Counselor | 16 Ritter St, San Rafael, CA 94912-3517 | 2015-12-30 |
| 1952794406 | Barbara Shreibman | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2015-03-09 |
| 1720493661 | Alia Marie Bertolozzi | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2014-06-30 |
| 1417370032 | Ritter Center | Clinic/Center | 16 Ritter St, San Rafael, CA 94901-3323 | 2014-02-03 |
| 1427343615 | Erica Sutherland | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2011-06-15 |
| 1801035043 | Marcia Tumy Byrnes | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2009-02-11 |
| 1861652018 | Sonya Gohel Wallace | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1356804827 | Casey William Holden | Nurse Practitioner | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2019-04-10 |
| 1558687475 | Jacqueline J Reams | Nurse Practitioner | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on CARMEN LILY CARROUCHE.
| 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.