DESIRAE RACHELLE EXENDINE (NPI# 1215541131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215541131 |
| Entity Type | Individual |
| Full Name | DESIRAE RACHELLE EXENDINE |
| Practice Address |
6501 Coyle Ave Carmichael CA 95608-0306 |
| Mailing Address |
1124 Adora Cir Roseville CA 95678-4408 |
| Practice Telephone | 9165375135 |
| Mailing Telephone | 5739532323 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
95053901 | CA | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
95015583 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6501 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306821228 | David L Wolf | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2005-12-13 |
| 1336746130 | Emily Montandon | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-10-05 |
| 1235745688 | Lianna Petrosyan | Counselor | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-21 |
| 1992322374 | Karen Weber | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-07-01 |
| 1164049847 | Ashley Ann Diaz | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-29 |
| 1164048450 | Jennifer Saephanh | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-22 |
| 1992321525 | Amy Marie Montgomery | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-19 |
| 1912520891 | Patricia Allison Stiles | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-05-26 |
| 1235764457 | Diane Sandstrom Nance | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-03-09 |
| 1497386494 | Jessica Joyce Martinez | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992354625 | Susan Shanahan Kostecki | Nurse Practitioner | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-09-05 |
| 1023594579 | Nathan M Kostiv | Nurse Practitioner | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1164881108 | Ana Lisa Borkowski | Nurse Practitioner | 11234 Anderson St # Mc6700h, Loma Linda, CA 92354-2804 | 2016-02-18 |
| 1598186371 | Colleen Jehning Donovan | Nurse Practitioner | 2051 Marengo St., Nicu, Los Angeles, CA 90033 | 2013-12-23 |
| 1770824740 | Ann Stein | Nurse Practitioner | 757 Medical Plz, Los Angeles, CA 90095-0001 | 2013-03-15 |
| 1699036756 | Ivette Syra Jackson | Nurse Practitioner | 8700 Beverly Blvd # 4311, West Hollywood, CA 90048-1804 | 2012-06-06 |
| 1508126251 | Jennie W Chu | Nurse Practitioner | 1000 W Carson Street, Harbor-ucla Medical Center, Neonatology, Department of Pediatrics, Torrance, CA 90502-2004 | 2012-05-29 |
| 1467775908 | Emi Kotoh | Nurse Practitioner | 4650 W. Sunset Blvd Ms #31, Los Angeles, CA 90027 | 2010-03-11 |
| 1598094286 | Ancy Abraham | Nurse Practitioner | 4650 W Sunset Blvd # 31, Los Angeles, CA 90027-6062 | 2009-12-09 |
| 1982734711 | Kathi Salley Randall | Nurse Practitioner | 28141 Belleterre Ave, Moreno Valley, CA 92555-6223 | 2007-03-07 |
| 1134280746 | Deborah Ann Eveland | Nurse Practitioner | 275 West Macarthur Blvd, Oakland, CA 94611 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
Please comment or provide details below to improve the information on DESIRAE RACHELLE EXENDINE.
| 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.