ANNIE ROSE CONDOLON-KOHLER (NPI# 1174086359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174086359 |
| Entity Type | Individual |
| Full Name | ANNIE ROSE CONDOLON-KOHLER |
| Credential | NP |
| Practice Address |
4520 Business Center Dr Fairfield CA 94534-6888 |
| Mailing Address |
1724 Ashtree Ct Fairfield CA 94534-3964 |
| Practice Telephone | 7076465500 |
| Mailing Telephone | 4848660654 |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011293 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4520 BUSINESS CENTER DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-6888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| 1447536313 | Vitalcare Transportation LLC | Ambulance | 5130 Fulton Drive, Suite G, Fairfield, CA 94534 | 2011-10-24 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724168 | Baljit Dhillon | Nurse Practitioner | 5140 Duren Cir, Fairfield, CA 94533-8978 | 2020-06-12 |
| 1164083168 | Michelle Setliff | Nurse Practitioner | 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 | 2019-06-21 |
| 1528545845 | Gerarda Pires | Nurse Practitioner | 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 | 2018-07-20 |
| 1063904407 | Peter Nicholas Brehmer | Nurse Practitioner | 239 Greenfield St, Fairfield, CT 06825-4401 | 2018-06-01 |
| 1447765698 | Mae Jennifer Le | Nurse Practitioner | 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 | 2017-12-11 |
| 1093168825 | Elizabeth Sarah Carson | Nurse Practitioner | 4910 Fairfield Rd, Fairfield, PA 17320-9510 | 2016-07-17 |
| 1083061550 | Tammera Phipps | Nurse Practitioner | 1168 N Frieda Dr, Fairfield, OH 45014-3316 | 2016-05-15 |
| 1700250883 | Aneet K Grewal | Nurse Practitioner | 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 | 2015-11-30 |
| 1104200716 | Latonia Yvette Cushingberry | Nurse Practitioner | 154 Twin Lakes Dr, Fairfield, OH 45014-5257 | 2015-07-13 |
| 1831518398 | Prompt Care Healthcare Solutions On The Go, Plc | Nurse Practitioner | 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 | 2014-04-14 |
| Find all providers in FAIRFIELD | ||||
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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.