KRYSTEN HENDRICKSON (NPI# 1093328635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093328635 |
| Entity Type | Individual |
| Full Name | KRYSTEN HENDRICKSON |
| Practice Address |
3355 Mission Ave Ste 237 Oceanside CA 92058-1322 |
| Practice Telephone | 4428885813 |
| Mailing Telephone | 4428885825 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
3355 MISSION AVE STE 237 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412087 | Fatima Fonseca | Case Manager/Care Coordinator | 3355 Mission Ave Ste 237, Oceanside, CA 92058-1322 | 2020-03-18 |
| 1730714841 | Nadya Faith Rivera | Counselor | 3355 Mission Ave Ste 237, Oceanside, CA 92058-1322 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363467 | Danielle Bower | Social Worker | 746 Grand Ave, Oakland, CA 94610-2714 | 2020-10-13 |
| 1013521566 | Simon Desmarais-zalob | Social Worker | 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 | 2020-09-02 |
| 1669086245 | Mozell Brown | Social Worker | 1150 S Olive St Ste 1150s, Los Angeles, CA 90015-2211 | 2020-09-01 |
| 1780297846 | Karla Stehl | Social Worker | 6996 Mission St, Daly City, CA 94014-2035 | 2020-08-28 |
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1043823370 | Melissa Sue Ambrose | Social Worker | 699 Serramonte Blvd Ste 100, Daly City, CA 94015-4132 | 2020-08-26 |
| 1982215067 | Monique Gomes | Social Worker | 412 Azores Cir, Bay Point, CA 94565-3031 | 2020-08-12 |
| 1790308906 | Sara Brenner | Social Worker | 29835 Mira Loma Dr, Temecula, CA 92592-2206 | 2020-05-21 |
| 1891318465 | Christian O'brian Munoz | Social Worker | 341 Haven Dr, Arvin, CA 93203-1918 | 2020-05-18 |
| 1356963078 | Roman Richard Tabayoyon | Social Worker | 9781 Mckenna Dr, Elk Grove, CA 95757-4027 | 2020-05-15 |
| 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.