MRS. SUE ANN CHAFFEE (NPI# 1073043907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073043907 |
| Entity Type | Individual |
| Full Name | MRS. SUE ANN CHAFFEE |
| Credential | PMHNP/DNP STUDENT |
| Practice Address |
500 N 9th St Ste B Modesto CA 95350-5814 |
| Mailing Address |
1329 N Carpenter Rd Modesto CA 95351 |
| Practice Telephone | 2093411824 |
| Mailing Telephone | 2097654692 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
500 N 9TH ST STE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013078682 | Yelice Corea | Registered Nurse | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2006-12-13 |
| 1902456577 | Rayanne Rhonda Tamayo | Counselor | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2019-09-16 |
| 1871001024 | Amalia Maya Lastra | Counselor | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2018-01-22 |
| 1780197913 | Sofia Aguilar-pimentel | Student in an Organized Health Care Education/Training Program | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2017-11-09 |
| 1588192959 | Melody Smith | Case Manager/Care Coordinator | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2017-05-31 |
| 1922536879 | Narciso Hernandez | Case Manager/Care Coordinator | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2017-05-23 |
| 1083156889 | Lauren Flood | Student in an Organized Health Care Education/Training Program | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2016-11-09 |
| 1487018438 | Lisa Ramirez | Registered Nurse | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2016-04-06 |
| 1689059941 | Alisha Sweyd | Counselor | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2015-07-28 |
| 1225421795 | Kadijah Savage | Counselor | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2015-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168219 | Kourosh Mehrazar | Student in an Organized Health Care Education/Training Program | 1405 Villette Ct, Modesto, CA 95356-8904 | 2019-05-02 |
| 1609439793 | Sylvia Margarita Castro | Student in an Organized Health Care Education/Training Program | 1441 Florida Ave # 102, Modesto, CA 95350-4404 | 2019-04-15 |
| 1427518422 | Maham Rehman | Student in an Organized Health Care Education/Training Program | 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 | 2019-03-25 |
| 1609334929 | Yaira Denis Aguilar | Student in an Organized Health Care Education/Training Program | 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 | 2019-03-05 |
| 1346727922 | Jorge Anguiano | Student in an Organized Health Care Education/Training Program | 821 Crippen Ave, Modesto, CA 95351-7700 | 2018-07-26 |
| 1740796648 | Paloma Angelica Parra | Student in an Organized Health Care Education/Training Program | 1400 K St Ste I, Modesto, CA 95354-1018 | 2017-12-15 |
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1326575002 | Rim Amare Gebremariam | Student in an Organized Health Care Education/Training Program | 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 | 2017-05-12 |
| 1023557543 | Jasmine Dominique Brooks | Student in an Organized Health Care Education/Training Program | 2521 Pescadero Pl, Modesto, CA 95355-3439 | 2017-02-16 |
| 1225408412 | Raman Benjamin | Student in an Organized Health Care Education/Training Program | 2800 Wind River Ct, Modesto, CA 95356-9383 | 2015-09-30 |
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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.