DEIDRA CHERIE BOLTON (NPI# 1174711212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174711212 |
| Entity Type | Individual |
| Full Name | DEIDRA CHERIE BOLTON |
| Practice Address |
4321 Tompkins Ave Oakland CA 94619-2820 |
| Practice Telephone | 5107154082 |
| Mailing Telephone | 5107154082 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609207273 | Deidra A. Bolton | Nurse Practitioner | 120 Colonial Promenade Pkwy, Alabaster, AL 35007 | 2013-12-09 |
| Street Address |
4321 TOMPKINS AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936605 | Resource Enviroment for Underprivilaged Groups Enterprises | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2007-08-05 |
| 1699394940 | Geneva Morgan | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2020-04-15 |
| 1982189437 | Jonathan Haskins | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-10-01 |
| 1104328632 | Brittany Robertson | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-02-28 |
| 1750899332 | Page Martell | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2018-01-17 |
| 1245746239 | Marla Anderson | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2017-12-28 |
| 1851838940 | Kristen Marie Garcia | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2017-01-26 |
| 1093165359 | Anthony Patton | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2016-06-17 |
| 1013398981 | Lobart Totty | Marriage & Family Therapist | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2015-06-16 |
| 1326429580 | Latanya Ison | Counselor | 4321 Tompkins Ave, Oakland, CA 94619-2820 | 2015-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
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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.