CARISSA ALENA CARYOTAKIS (NPI# 1124570627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124570627 |
| Entity Type | Individual |
| Full Name | CARISSA ALENA CARYOTAKIS |
| Credential | N.P. |
| Practice Address |
3701 J St Ste 201 Sacramento CA 95816-5542 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 8553542242 |
| Practice Fax Number | 8553542242 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 00000 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3701 J ST STE 201 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162730 | Scott Michael Needle | Pediatrics | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2005-05-23 |
| 1114572278 | Melisa J Molina | Nurse Practitioner | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2019-08-06 |
| 1235782913 | Galen Lindsey King | Dentist | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2019-07-22 |
| 1720640055 | Dung Nguyen | Dentist | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2019-07-08 |
| 1457913568 | Catherine Tang | Dentist | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2019-06-28 |
| 1437615259 | Christopher Robert Chuck | Dentist | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2019-02-17 |
| 1407323322 | Lucia Albu | Physician Assistant | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2018-10-29 |
| 1619454253 | Byron Ruiz | Dentist | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2018-07-26 |
| 1760995286 | Margaret Ukandu | Nurse Practitioner | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2017-11-06 |
| 1609305168 | Michaela Lee Haugland Gist | Nurse Practitioner | 3701 J St Ste 201, Sacramento, CA 95816-5542 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342366 | Chelsea Hallford-reese | Nurse Practitioner | 5432 Leader Ave, Sacramento, CA 95841-2312 | 2020-10-02 |
| 1033749270 | Bernice Tan | Nurse Practitioner | 570 Bercut Dr, Sacramento, CA 95811-0105 | 2020-01-15 |
| 1669946687 | Erin Blaise | Nurse Practitioner | 100 Howe Ave Ste 240n, Sacramento, CA 95825-8214 | 2019-01-12 |
| 1356818819 | Joshua Naeger | Nurse Practitioner | 8715 Center Pkwy, Sacramento, CA 95823-7921 | 2018-11-01 |
| 1346716941 | Sarah Marie Woods | Nurse Practitioner | 3814 Auburn Blvd Ste 72, Sacramento, CA 95821-2123 | 2018-10-22 |
| 1629543343 | Manraj Kaur Sandhu | Nurse Practitioner | 1508 Alhambra Blvd # 200, Sacramento, CA 95816-6510 | 2018-10-09 |
| 1417432147 | Janette Bajo | Nurse Practitioner | 2725 Capitol Ave Dept 304, Sacramento, CA 95816-6006 | 2018-09-27 |
| 1356876981 | Sukhraj Mann | Nurse Practitioner | 2984 Muttonbird Way, Sacramento, CA 95834-2623 | 2017-04-20 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| 1083169908 | Joshua Reza Khoshsefat | Nurse Practitioner | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2016-08-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.