NICOLE DANIELLE CARRILLO (NPI# 1114934346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114934346 |
Entity Type | Individual |
Full Name | NICOLE DANIELLE CARRILLO |
Credential | RN, MS, ACNP |
Practice Address |
623 Broderick St San Francisco CA 94117-1411 |
Mailing Address |
623 Broderick Street Apartment A San Francisco CA 94117-1411 |
Practice Telephone | 4159219110 |
Mailing Telephone | 4159219110 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2011-01-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
NP14993 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366863995 | Nicole Carrillo | Speech-Language Pathologist | 640 Nw Jefferson St, Grain Valley, MO 64029-8278 | 2013-12-28 |
Street Address |
623 BRODERICK ST |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94117-1411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
Find all providers in zip 94117 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629528278 | Angelynn Kitzerow | Nurse Practitioner | 1287b Arguello Blvd, San Francisco, CA 94122-2755 | 2016-10-06 |
1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
1184273609 | John Conrad Cruz Uy | Nurse Practitioner | 1101 Van Ness Ave, San Francisco, CA 94109-6919 | 2019-09-06 |
1235696584 | Enrique Reyes Ayalde Jr. | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2019-02-22 |
1578044178 | Claudia Cuevas | Nurse Practitioner | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2018-08-22 |
1134536295 | Jonathan Pascual | Nurse Practitioner | 505 Parnassus Ave, 10 Intensive Cardiac Care, San Francisco, CA 94143-2204 | 2014-07-21 |
1164671178 | Anne E Fredericks | Nurse Practitioner | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108151 | Jennifer L Winters | Nurse Practitioner | 1011 Camino Del Rio S Ste 415, San Diego, CA 92108-3531 | 2020-06-11 |
1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
1508060237 | Oteria Randall Koayen | Nurse Practitioner | 1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3e, Pittsburg, CA 94565-7627 | 2007-06-14 |
1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
1952913634 | Honey R Beddingfield | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-08-23 |
1568010304 | Jaime Appel | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-08-26 |
1407315815 | Chelsea Sidhu | Nurse Practitioner | 3132 W March Ln, Stockton, CA 95219-2354 | 2019-03-15 |
1053879932 | Anitha Choorakulam George | Nurse Practitioner | 600 Coffee Rd, Modesto, CA 95355-4201 | 2019-03-09 |
Find all providers with the same taxonomy |
City | SAN FRANCISCO |
Zip Code | 94117 |
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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.