MEKENNA CROUSE (NPI# 1134517303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134517303 |
| Entity Type | Individual |
| Full Name | MEKENNA CROUSE |
| Credential | N.P. |
| Practice Address |
5800 Hollis St Emeryville CA 94608-2016 |
| Practice Telephone | 6507249707 |
| Mailing Telephone | 6507249707 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95002182 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15047 Los Gatos Blvd. # 200, Bay Area Pain & Wellness Center, Los Gatos, CA 95032 | 4083646799 |
| Street Address |
5800 HOLLIS ST |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376518662 | Anne Susan Boyd | Family Medicine | 5800 Hollis St, Emeryville, CA 94608-2016 | 2006-02-21 |
| 1275151979 | Cory L. Hillis | Audiologist | 5800 Hollis St, Emeryville, CA 94608-2016 | 2020-07-09 |
| 1073009726 | Angela Huang | Audiologist | 5800 Hollis St, Emeryville, CA 94608-2016 | 2018-07-05 |
| 1528553930 | Rebecca Tess Howard | Audiologist | 5800 Hollis St, Emeryville, CA 94608-2016 | 2018-06-27 |
| 1811427065 | Seung Youn Yoon | Audiologist | 5800 Hollis St, Emeryville, CA 94608-2016 | 2017-06-19 |
| 1275076325 | Stanford Health Care | Anesthesiology | 5800 Hollis St, Emeryville, CA 94608-2016 | 2016-11-22 |
| 1356704043 | Adrien Faye Barbas | Nurse Practitioner | 5800 Hollis St, Emeryville, CA 94608-2016 | 2016-03-31 |
| 1366842502 | Leah Theresa Sanchez | Nurse Practitioner | 5800 Hollis St, Emeryville, CA 94608 | 2014-08-25 |
| 1285044669 | Reza Vaezeafshar | Otolaryngology | 5800 Hollis St, Emeryville, CA 94608-2016 | 2014-05-06 |
| 1508207671 | Victoria Lee He | Pharmacist | 5800 Hollis St, Pharmacy, Emeryville, CA 94608-2016 | 2013-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| 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 |
|---|---|---|---|---|
| 1629249438 | Robin Irene Fernandes | Nurse Practitioner | 1480 64th St Ste 100, Emeryville, CA 94608-2038 | 2008-03-19 |
| 1679552335 | Anne Ninita Knight | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2006-01-11 |
| 1205375151 | Kelly Denise Riney | Nurse Practitioner | 2100 Powell St, 900, Emeryville, CA 94608 | 2017-02-13 |
| 1023419686 | Eugenia Brazal Magahis | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2014-09-12 |
| 1245666981 | Dianna L Lange | Nurse Practitioner | 2100 Powell Street, Suite 900, Emeryville, CA 94608 | 2013-09-25 |
| 1356657696 | California Emergency Physicians/med America | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2010-08-24 |
| 1578614012 | Michelle M Scotti | Nurse Practitioner | 2100 Powell St, Emeryville, CA 94608-1826 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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| City | EMERYVILLE |
| Zip Code | 94608 |
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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.