ALEXIS R CHETTIAR (NPI# 1164667549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164667549 |
| Entity Type | Individual |
| Full Name | ALEXIS R CHETTIAR |
| Other Name | ALEXIS B REED |
| Credential | NP |
| Practice Address |
2905 Telegraph Ave Berkeley CA 94705-2017 |
| Practice Telephone | 5108414525 |
| Practice Fax Number | 5102049086 |
| Mailing Telephone | 5108414525 |
| Mailing Fax Number | 5102049086 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP 18561 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2905 TELEGRAPH AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871699074 | East Bay Nephrology Medical Group, Inc. | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705-2063 | 2006-09-15 |
| 1306314828 | Suzanne D Lee | Dietitian, Registered | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2018-11-02 |
| 1538635966 | Helen Kalasa Mwanza | Nurse Practitioner | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2018-10-24 |
| 1568991701 | Rahitha Maria Thomas | Registered Nurse | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2017-06-10 |
| 1952776791 | Chhaya B Patel | Dietitian, Registered | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2015-12-04 |
| 1336534585 | Warda Zaman | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2015-04-04 |
| 1922425057 | Michael James Ajuria | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2014-03-26 |
| 1861834996 | Manasi Bapat | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705 | 2013-07-17 |
| 1699094292 | Vikram Suri | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2010-05-21 |
| 1306072640 | Golaun Odabaei | Internal Medicine | 2905 Telegraph Ave, Berkeley, CA 94705-2017 | 2009-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| 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 |
|---|---|---|---|---|
| 1841774213 | Erin Royle | Nurse Practitioner | 800 Dwight Way, Berkeley, CA 94710 | 2018-09-20 |
| 1225201353 | Thomas J Cutillo | Nurse Practitioner | 3000 Colby St 201, Berkeley, CA 94705-2058 | 2008-04-09 |
| 1457571028 | Barbara Jean Bodle-pedersen | Nurse Practitioner | 2222 Bancroft Ave., Berkeley, CA 94720-4300 | 2007-04-26 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1265582969 | Alice Cannan | Nurse Practitioner | 2915 Telegraph Ave Ste 200, Berkeley, CA 94705-2030 | 2007-01-12 |
| 1619077278 | Susan Light | Nurse Practitioner | University of California 2222bancroft Way, Berkeley, CA 94720-0001 | 2006-09-24 |
| 1891195806 | Journey Meadows | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2014-08-27 |
| 1548605587 | Virgilio Y Baluyut | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2013-05-03 |
| 1740552850 | Aryn L Earnhardt | Nurse Practitioner | 2850 Telegraph Ave Ste 110, Berkeley, CA 94705-1159 | 2012-02-04 |
| 1841456811 | Kristina Ryan | Nurse Practitioner | 2031 6th St, Berkeley, CA 94710-2006 | 2008-07-30 |
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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.