KATHRYN E STEWART (NPI# 1194000778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194000778 |
| Entity Type | Individual |
| Full Name | KATHRYN E STEWART |
| Credential | PA-C |
| Practice Address |
17095 Main St Hesperia CA 92345-6004 |
| Practice Telephone | 7609564133 |
| Practice Fax Number | 7609569297 |
| Mailing Telephone | 7609564133 |
| Mailing Fax Number | 7609569297 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
21897 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647510 | Kathryn Stewart | Physician Assistant | 5492 Ne Laura Ct, Poulsbo, WA 98370-7814 | 2016-09-12 |
| 1508250242 | Kathryn Stewart | Assistant Behavior Analyst | 5416 Ray Nash Dr Nw, Gig Harbor, WA 98335-5973 | 2015-03-19 |
| 1497987937 | Kathryn E Stewart | Massage Therapist | 2816 Southview Dr, Lexington, KY 40503-2815 | 2009-08-18 |
| 1154328474 | Kathryn J Stewart | Family Medicine | 1508 S California Ave, K-943, Chicago, IL 60608-1729 | 2005-07-01 |
| 1083125868 | Kathryn B Stewart | Nurse Anesthetist, Certified Registered | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-10-19 |
| 1932649209 | Kathryn Stewart | Dietitian, Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2017-03-06 |
| 1508233404 | Kathryn Stewart | Physical Therapy Assistant | 619 S Knik Goose Bay Rd, Suite H, Wasilla, AK 99654-8075 | 2015-08-26 |
| 1245620624 | Kathryn Stewart | Speech-Language Pathologist | 6710 N Country Homes Blvd, Spokane, WA 99208-4337 | 2015-01-23 |
| 1063766608 | Kathryn L Stewart | Audiologist | 3351 M St Ste 205, Merced, CA 95348-2731 | 2012-11-05 |
| 1386950921 | Kathryn Meredith Raabe Stewart | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2010-08-20 |
| Street Address |
17095 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543785 | Ziad R El-hajjaoui | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2005-07-28 |
| 1992210660 | Alice Wang | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2017-12-04 |
| 1467985259 | Anastacia Legaspi Rodriguez | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2017-04-07 |
| 1215323522 | Wajidah Abdul-khabir | Hospitalist | 17095 Main St, Hesperia, CA 92345-6004 | 2015-04-13 |
| 1508113135 | High Desert Primary Care | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2012-08-14 |
| 1629397914 | Eki S.e. Abrams | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2010-05-26 |
| 1447402516 | Asefeh Faraz | Nurse Practitioner | 17095 Main St, Hesperia, CA 92345-6004 | 2008-10-21 |
| 1588828537 | Malini Kethireddy | Family Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2008-07-17 |
| 1750543427 | James Christiansen | Physical Therapist | 17095 Main St, Hesperia, CA 92345-6004 | 2008-06-25 |
| 1881883064 | Angela Kwafoa Mimi Amoani | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423447 | Joseph Louis Tate | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2012-06-26 |
| 1457658171 | Jarnice Louise Johnson | Physician Assistant | 11919 Hesperia Rd, Suite A, Hesperia, CA 92345-2158 | 2011-02-15 |
| 1326356601 | Trent Tyson Davis | Physician Assistant | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2010-09-20 |
| 1073523072 | Jose Angel Ortiz | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.