KRYSTLE FERNANDEZ (NPI# 1205171477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205171477 |
| Entity Type | Individual |
| Full Name | KRYSTLE FERNANDEZ |
| Credential | MSN |
| Practice Address |
2625 W Alameda Ave Suite 116 Burbank CA 91505-4806 |
| Practice Telephone | 8188415974 |
| Mailing Telephone | 8188415974 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 22281 | CA | Nursing Service Providers |
| Street Address |
2625 W ALAMEDA AVE SUITE 116 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
| 1740622232 | Mark Mikhael Inc | Orthopaedic Surgery | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2013-07-24 |
| 1871838367 | Justin Farrell Cahn | Physician Assistant | 2625 W Alameda Ave, Suite 116, Burbank, CA 91505-4806 | 2012-12-10 |
| 1487905808 | Sofise Chen | Dentist | 2625 W Alameda Ave, Suite 216, Burbank, CA 91505-4806 | 2012-09-25 |
| 1922359603 | Sofise Chen, D.d.s. A Professional Dental Corporation | Clinic/Center | 2625 W Alameda Ave, 216, Burbank, CA 91505-4806 | 2012-09-21 |
| 1639457138 | Lakshmidevi V. Putta, Md Inc | Family Medicine | 2625 W Alameda Ave, Suite 424, Burbank, CA 91505-4806 | 2011-08-01 |
| 1679873665 | Robert Stephen Neches | Marriage & Family Therapist | 2625 W Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2010-10-25 |
| 1790002871 | Shant M Karayan | Chiropractor | 2625 W Alameda Ave, Suite 310, Burbank, CA 91505-4806 | 2010-04-28 |
| 1841528957 | Tejas Patel, Md A Medical Corporation | Internal Medicine | 2625 W Alameda Ave, Ste 412, Burbank, CA 91505-4806 | 2009-12-01 |
| 1063659704 | Western Podmed Clinic Inc | Podiatrist | 2625 W Alameda Ave, Ste 314, Burbank, CA 91505-4822 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407015068 | Klesahra Davis | Licensed Practical Nurse | 475 E Orange Grove Ave, L, Burbank, CA 91501-2811 | 2008-06-08 |
| 1588920789 | La Donna Young | Licensed Practical Nurse | 1041 S Main St, Burbank, CA 91506-3205 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
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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.