MRS. MARLENE ELAINE HEUCK (NPI# 1063069946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063069946 |
| Entity Type | Individual |
| Full Name | MRS. MARLENE ELAINE HEUCK |
| Practice Address |
1836 Castro Dr San Jose CA 95130-1713 |
| Practice Telephone | 4083781909 |
| Mailing Telephone | 4083781909 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
1836 CASTRO DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1366516205 | Irene Shuk Wong | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130 | 2006-11-20 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1013136423 | Julie Dutton | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2007-04-24 |
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| 1508423567 | Kee Jin Kwon | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-05-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1699245795 | Jim Patton | Massage Therapist | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2018-11-30 |
| Find all providers in zip 95130 | ||||
| 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 |
|---|---|---|---|---|
| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
| 1932745189 | Ana Maria Fernandez | Technician | 655 S 34th St Spc 33, San Jose, CA 95116-2910 | 2019-11-22 |
| 1275177545 | Karin Warfel | Technician | 2394 Poplar Dr, San Jose, CA 95122-3941 | 2019-10-30 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1881245595 | Lorna Cabuag Siquig | Technician | 1519 Fledermaus Ct, San Jose, CA 95121-2018 | 2019-09-24 |
| 1649821679 | Nicolette Cline | Technician | 5249 Mill Creek Ln, San Jose, CA 95136-3612 | 2019-09-20 |
| 1013567288 | Delcy Turpo - Choque | Technician | 3784 Underwood Dr Apt 4, San Jose, CA 95117-2448 | 2019-09-18 |
| 1164065512 | Annie Huang | Technician | 950 W Julian St, San Jose, CA 95126-2719 | 2019-10-17 |
| 1861781098 | Morris Silverio Linsangan | Technician | 1993 Mckee Rd, San Jose, CA 95116-1406 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487691 | Hine Maumalanga | Technician | 1094 Folsom Ave, Hayward, CA 94544-5704 | 2020-11-05 |
| 1649871765 | Charles Leroy Appleberry II | Technician | 1100 S Chester Ave, Compton, CA 90221-4312 | 2020-11-04 |
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1083212476 | Christina Elisabeth Brunn | Technician | 2818 Huxley Pl, Fremont, CA 94555-1416 | 2020-10-16 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1730795543 | Corina Rochelle Burch | Technician | 3706 Calavo Dr, Spring Valley, CA 91977-1903 | 2020-09-17 |
| 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 |
| 1427668649 | Monique Daneyell Williams | Technician | 615 Ivy Dr, Menlo Park, CA 94025-1342 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.