TRUMAN LYNN NORTHERN


Address: 609 5th St, Modesto, CA 95351-3316
Phone: 2093410718

TRUMAN LYNN NORTHERN (NPI# 1043874027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043874027
Entity Type Individual
Full Name TRUMAN LYNN NORTHERN
Practice Address 609 5th St
Modesto
CA 95351-3316
Practice Telephone 2093410718
Mailing Telephone 2093410718
Enumeration Date 2019-04-25
Last Update Date 2019-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 609 5TH ST
City MODESTO
State CA
Zip Code 95351-3316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790813582 Janene Carol Honberger Case Manager/Care Coordinator 609 5th St, Modesto, CA 95351-3316 2007-03-01
1720695414 Mary English Technician/Technologist 609 5th St, Modesto, CA 95351-3316 2020-09-26
1770100588 Coty Huntley Technician 609 5th St, Modesto, CA 95351-3316 2020-06-26
1215553003 Richard Vernon Search Technician 609 5th St, Modesto, CA 95351-3316 2020-06-17
1063038909 Kelli Jeannine Ott Technician 609 5th St, Modesto, CA 95351-3316 2020-06-16
1689201295 Donnie Carter Jr. Technician 609 5th St, Modesto, CA 95351-3316 2020-03-24
1962039701 Jody Becker Technician 609 5th St, Modesto, CA 95351-3316 2020-03-23
1073145140 Cristian Brittney Mcclure Technician, Other 609 5th St, Modesto, CA 95351-3316 2020-02-06
1265075519 Julia Ann Raistrick Technician 609 5th St, Modesto, CA 95351-3316 2019-10-18
1508409962 Joel Wesley Culver Technician 609 5th St, Modesto, CA 95351-3316 2019-10-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700392487 Western Dental Services, Inc. Dentist 1524 Richland Ave, Ceres, CA 95351 2017-12-18
1881039873 Sabrina Arora-thissen Family Medicine 401 Paradise Rd. Ste, Modesto, CA 95351 2013-05-03
1407163561 Maliza Cahee Oliver Dentist 1404 Mitchell Rd, Modesto, CA 95351 2010-09-09
1124345616 Jason Lee Paul Wayrynen Social Worker 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 2010-04-23
1841469640 Edgar Hse-hwa Han Physical Medicine & Rehabilitation 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 2008-02-26
1326259326 Karen Ann Peterson Nurse Practitioner 1340 Mitchell Rd, Modesto, CA 95351 2007-05-24
1013139054 Bounchanh Trysavath Physician Assistant 300 I St, Modesto, CA 95351 2007-05-02
1245363464 Sharon Basaldua1 Counselor 813 Moon Lane, Modesto, CA 95351 2007-03-14
1710046834 Phil Chen Dentist 1460 Mitchell Road, Suite B, Modesto, CA 95351 2006-12-06
1649366055 Victor Y. Chen Family Medicine 401 Paradise Road, Suite E, Modesto, CA 95351 2006-10-04
Find all providers in zip 95351

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700329810 Sergio Marquez Peer Specialist 1338 Holm Ave, Modesto, CA 95351-4704 2016-11-21
1821531930 Lance Lebray Peer Specialist 840 La Sombra Ave, Modesto, CA 95354-1434 2016-11-21
1396305009 Ronald Joseph Roy Peer Specialist 1001 Needham St, Modesto, CA 95354-0730 2019-06-14
1073177887 Virginia Betty Linker Peer Specialist 1001 Needham St, Modesto, CA 95354-0730 2019-04-26
1437713401 Kyle Mitchell Peer Specialist 609 5th St, Modesto, CA 95351-3316 2019-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477629 Karen J Pompa Peer Specialist 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 2020-11-05
1033710231 Marcus Kujawa Peer Specialist 85 Ramona Expy Ste 13, Perris, CA 92571-7014 2020-11-04
1962001230 Tanya Geanna Macleod Peer Specialist 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 2020-10-19
1043826753 Dayjahnay Shantay Davenport Peer Specialist 3347 Lincoln Ave, San Diego, CA 92104-2111 2020-09-17
1497364848 Marissa Adrianna Garza Peer Specialist 1502 Verona Ct, Salinas, CA 93905-2249 2020-07-30
1235765801 Jill Nina Bierman Peer Specialist 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 2020-03-16
1427683101 Gerardo Castro Peer Specialist 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 2020-03-03
1437783180 Samuel Guadron Rosales Peer Specialist 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 2020-03-02
1356973234 Salina Sheoli Romero Peer Specialist 40 West G Street Ste. B, Los Banos, CA 93635 2020-02-07
1578103313 Charles Winfield Eproson Jr. Peer Specialist 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 2020-01-09
Find all providers with the same taxonomy

Competitor

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City MODESTO
Zip Code 95351

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Dataset Information

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.

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