MIKE KERR (NPI# 1235795543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235795543 |
| Entity Type | Individual |
| Full Name | MIKE KERR |
| Credential | RN |
| Practice Address |
7707 Austin Rd Stockton CA 95215-8312 |
| Mailing Address |
Po Box 1453 Hughson CA 95326-1453 |
| Practice Telephone | 2094674508 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
88124 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7707 Austin Rd, Stockton, CA 952158312 | 8089381302 |
| Street Address |
7707 AUSTIN RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1659981330 | Kamaljot Bajwa | Nurse Practitioner | 7707 Austin Rd, Stockton, CA 95215-8312 | 2020-08-06 |
| 1053956581 | Brian Lee Barker | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-11-07 |
| 1942792650 | Esmeralda J Pena | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-30 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| 1104354273 | Tracy Monique Grissett | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-06-01 |
| 1609302959 | Melonie Shultz Shultz | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-05-05 |
| 1245764778 | Samantha Obanor | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-04-11 |
| 1992257083 | Stacie Bryant | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| Find all providers in zip 95215 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198778 | Jennifer Maina | Registered Nurse | 10231 River Oaks Dr, Stockton, CA 95209-4156 | 2019-11-10 |
| 1942758115 | Bao Nguyen | Registered Nurse | 6256 Welch Ave, Stockton, CA 95210-5623 | 2016-09-16 |
| 1679962963 | Christina Ty | Registered Nurse | 3108 Bryant Dr, Stockton, CA 95212-3419 | 2015-01-09 |
| 1750587648 | Nilda Owens | Registered Nurse | 3706 Zeppelin Ln, Stockton, CA 95212-9279 | 2007-06-26 |
| 1679693766 | Gilbert Juan Cabrera | Registered Nurse | 4122 Giselle Ln, Stockton, CA 95206-6508 | 2007-03-30 |
| 1013037274 | Arunny Hin-serapheap | Registered Nurse | 5544 Black Oak Dr, Stockton, CA 95212-2536 | 2007-03-30 |
| 1265074785 | Bobby Leal | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2019-10-16 |
| 1417454430 | Marc Infante Lopez | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2018-04-06 |
| 1982102190 | Michaela Berry | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2018-01-23 |
| 1174033567 | Arabella Galbadores | Registered Nurse | 1212 N California St, Stockton, CA 95202-1552 | 2017-10-11 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on MIKE KERR.
| 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.