MIA WILLINGHAM MACLEAN VERNIC (NPI# 1184262305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184262305 |
| Entity Type | Individual |
| Full Name | MIA WILLINGHAM MACLEAN VERNIC |
| Credential | MSN, RN, CPNP-PC |
| Practice Address |
6840 Via Del Oro Ste 210 San Jose CA 95119-1372 |
| Mailing Address |
1868 Buchanan St San Francisco CA 94115-3211 |
| Practice Telephone | 4082842280 |
| Mailing Telephone | 4155720800 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95013426 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6840 VIA DEL ORO STE 210 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477950681 | School Health Clinics of Santa Clara County | Health Maintenance Organization | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2014-12-03 |
| 1467077107 | Jallisae Maria Nedi | Family Medicine | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2020-06-09 |
| 1962963140 | Irene Elizabeth Jones | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2019-03-29 |
| 1306365366 | Nicole Puanani Ines | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2017-09-11 |
| 1144686056 | Jessica Lee West | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151216 | Frances Susan Combe | Nurse Practitioner | 1855 Lucretia Ave Rm 112, San Jose, CA 95122-3730 | 2007-09-05 |
| 1588878177 | Ruth Koppel Rosenblum | Nurse Practitioner | 1521 Estelle Ave, San Jose, CA 95118-1325 | 2007-05-10 |
| 1043825235 | Kyla Rockland-miller | Nurse Practitioner | 2039 Forest Ave, San Jose, CA 95128-4817 | 2020-09-14 |
| 1821602541 | Holly Maureen Milligan | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2020-09-01 |
| 1568965069 | Kara Alita Ramos | Nurse Practitioner | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2018-03-12 |
| 1306365366 | Nicole Puanani Ines | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2017-09-11 |
| 1427596618 | Marina Kofman | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2017-02-07 |
| 1568909315 | Mary Le | Nurse Practitioner | 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 | 2017-01-31 |
| 1144686056 | Jessica Lee West | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2016-01-07 |
| 1942605282 | Semhar Hailemicael | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2014-10-29 |
| Find all providers in SAN JOSE | ||||
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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.