NICOLE ROSE STANARD (NPI# 1174038244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174038244 |
| Entity Type | Individual |
| Full Name | NICOLE ROSE STANARD |
| Other Name | NICOLE ROSE PIPITONE |
| Credential | RN |
| Practice Address |
4309 3rd Ave San Diego CA 92103-1407 |
| Mailing Address |
12808 Willow Rd Lakeside CA 92040-1813 |
| Practice Telephone | 6198764502 |
| Mailing Telephone | 6199281346 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
95128218 | CA | Nursing Service Providers |
| Street Address |
4309 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889289 | New Alternatives, Inc. | Clinic/Center | 4309 3rd Ave, San Diego, CA 92103-1407 | 2007-05-14 |
| 1932716966 | Samantha Eklund | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1194332122 | Jacob Couture | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1861008138 | Brandy Lizette Munoz | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-21 |
| 1356955355 | Diana Munoz | Marriage & Family Therapist | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-07 |
| 1982218160 | Ruben Dela Cruz Quiocho | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-03 |
| 1780296905 | Gustavo Fonseca | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-08-19 |
| 1538777586 | Alexa Brozick | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912535980 | Zachary Charles Smith Sr. | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-03-27 |
| 1285290833 | Jeffrey Ross Besch | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-05-18 |
| 1275029779 | Viorica Filsoof | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-07-08 |
| 1437654217 | Michael Paul Licht II | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2018-03-26 |
| 1841711108 | Patricia Soares Rogeri | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2017-06-27 |
| 1194157495 | Priscilla Pittman Garcia | Registered Nurse | 600 B St Ste 1570, San Diego, CA 92101-4560 | 2013-08-08 |
| 1831495340 | Vivian Barnings | Registered Nurse | 4307 3rd Ave, San Diego, CA 92103-1407 | 2011-01-31 |
| 1821394339 | Cathleen Danielson | Registered Nurse | 4307 3rd Ave, San Diego, CA 92103-1407 | 2011-01-31 |
| 1649309105 | Tara A Shealy | Registered Nurse | 446 Alta Rd, Suite 6100, San Diego, CA 92158-0001 | 2007-03-02 |
| 1881721751 | Twila Gene Warm | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-02-27 |
| Find all providers in SAN DIEGO | ||||
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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.