MAUREEN PATRICIA MCKIBBAN (NPI# 1215069307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215069307 |
| Entity Type | Individual |
| Full Name | MAUREEN PATRICIA MCKIBBAN |
| Credential | NP |
| Practice Address |
1400 K St Modesto CA 95354-1018 |
| Mailing Address |
17367 Cemetary Rd Oakdale CA 95361-9520 |
| Practice Telephone | 2095234573 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN146281, NP7282 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 K ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750421574 | Sonia A Greer | Counselor | 1400 K St, Suite B, Modesto, CA 95354-1018 | 2007-02-08 |
| 1588118103 | Carla Martinez | Counselor | 1400 K St, Modesto, CA 95354-1018 | 2016-08-11 |
| 1366819864 | Janet Ruiz | Counselor | 1400 K St, Modesto, CA 95354-1018 | 2015-09-01 |
| 1780067868 | Kelly Cole | Student in an Organized Health Care Education/Training Program | 1400 K St, Modesto, CA 95354-1018 | 2015-07-07 |
| 1891108189 | Lina Villegas | Counselor | 1400 K St, Modesto, CA 95354-1018 | 2014-06-04 |
| 1003232869 | Amber Nicole Allred | Counselor | 1400 K St, Modesto, CA 95354-1018 | 2014-03-17 |
| 1689805715 | Janelle Lynn Wyatt | Student in an Organized Health Care Education/Training Program | 1400 K St, Modesto, CA 95354-1018 | 2009-08-06 |
| 1912151812 | Jesica Flores II | Counselor | 1400 K St, Modesto, CA 95354-1018 | 2008-11-05 |
| 1669622981 | Heather J Sumpter | Student in an Organized Health Care Education/Training Program | 1400 K St, Modesto, CA 95354-1018 | 2008-09-23 |
| 1043490345 | Kimberly Cabeceiras | Case Manager/Care Coordinator | 1400 K St, Modesto, CA 95354-1018 | 2007-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316968654 | Patricia E Conteh | Nurse Practitioner | 1208 9th St, Modesto, CA 95354-0713 | 2006-07-22 |
| 1386672848 | Lynnette F. Tripp | Nurse Practitioner | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.