SHAWANA OBERDICK (NPI# 1245783273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245783273 |
| Entity Type | Individual |
| Full Name | SHAWANA OBERDICK |
| Practice Address |
3300 Truxtun Ave Bakersfield CA 93301-3137 |
| Mailing Address |
Po Box 1000 Bakersfield CA 93302-1000 |
| Practice Telephone | 6618686601 |
| Practice Fax Number | 6618611507 |
| Mailing Telephone | 6618686601 |
| Mailing Fax Number | 6618611507 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3300 TRUXTUN AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275673857 | James Alvia Waterman | Psychologist | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2007-02-06 |
| 1780299628 | Aaron Alan Campos | Social Worker | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-09-08 |
| 1174135024 | Keturah Hunte | Counselor | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-21 |
| 1184235244 | Raeann Haggard | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-12 |
| 1548871957 | Violene Crompton | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-11 |
| 1891306130 | Nevin Aaron | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-11 |
| 1942811492 | Peggi Williams | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-10 |
| 1659981280 | Desirae Etta Salas | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-07 |
| 1639789274 | Carlos Brents Salas | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-07 |
| 1033729678 | Charlotte Manning | Case Manager/Care Coordinator | 3300 Truxtun Ave, Bakersfield, CA 93301-3137 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902407 | Kiranjit Kaur Rai | Student in an Organized Health Care Education/Training Program | 11413 Mondego Dr, Bakersfield, CA 93311-9632 | 2020-08-16 |
| 1578186458 | Immaculate P Desilva | Student in an Organized Health Care Education/Training Program | 9727 Casa Del Sol Dr, Bakersfield, CA 93311-3023 | 2020-05-26 |
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1700449600 | Jesica Gonzalez | Student in an Organized Health Care Education/Training Program | 6200 Victor St Apt P103, Bakersfield, CA 93308-7007 | 2019-04-16 |
| 1083195721 | Brandon Edwin Davis | Student in an Organized Health Care Education/Training Program | 10815 Polo Dr, Bakersfield, CA 93312-4192 | 2018-08-21 |
| 1619464203 | Sushant Soni | Student in an Organized Health Care Education/Training Program | 111 Bancroft Dr, Bakersfield, CA 93308-1501 | 2018-04-18 |
| 1629572904 | Monica Praveena Kumar | Student in an Organized Health Care Education/Training Program | Clinica Sierra Vista/east Niles Community Health Center, 7800 Niles Street, Bakersfield, CA 93306-4937 | 2018-03-21 |
| 1245752500 | Hussien Saab | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bldg 4, Bakersfield, CA 93306-4018 | 2017-07-07 |
| 1033647482 | Stephanie Ramirez Pimentel | Student in an Organized Health Care Education/Training Program | 17824 Quality Rd, Bakersfield, CA 93308-9223 | 2017-05-30 |
| 1164958120 | Gurvijay Bains | Student in an Organized Health Care Education/Training Program | 10904 Vista Ridge Dr, Bakersfield, CA 93311-3236 | 2017-05-11 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on SHAWANA OBERDICK.
| 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.