RAECHEL TAYLOR (NPI# 1255747374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255747374 |
| Entity Type | Individual |
| Full Name | RAECHEL TAYLOR |
| Practice Address |
3177 Ocean View Blvd San Diego CA 92113-1432 |
| Practice Telephone | 6195954400 |
| Mailing Telephone | 6195954400 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
3177 OCEAN VIEW BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92113-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855828 | Emily Christine Rall | Physician Assistant | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2005-07-18 |
| 1124680061 | Joshua Dan Herrera | Health Educator | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2019-07-01 |
| 1619458213 | Kim Long Thi Vo | Pharmacist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2018-08-22 |
| 1033622238 | Rhiannon Cardeiro | Dental Hygienist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-11-09 |
| 1063945657 | Alejandra Melissa Morales | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-04-10 |
| 1912438250 | Michaela Staley | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2017-03-27 |
| 1689037111 | Amanda Karla Dappen | Family Medicine | 3177 Ocean View Blvd, San Diego, CA 92113 | 2016-04-01 |
| 1821467655 | Samantha Anne Melzer | Dentist | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2015-09-23 |
| 1043631492 | Joseph Paul Stephen Mayer | Social Worker | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2014-01-02 |
| 1699018259 | Erin Lee Springer | Student in an Organized Health Care Education/Training Program | 3177 Ocean View Blvd, San Diego, CA 92113-1432 | 2013-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609305986 | Cynthia Alba | Nutritionist | 1809 National Ave., San Diego, CA 92113 | 2017-06-08 |
| 1184153983 | Jessy Milligan | Counselor | 4125 Alpha Street, San Diego, CA 92113 | 2017-06-06 |
| 1730557406 | Deborah Mary Malloy | Counselor | Jary Barreto, 2865 Logan Avenue, San Diego, CA 92113 | 2015-09-10 |
| 1104220912 | Imhotep Mustaqeem | Counselor | 3336 Steel Street, San Diego, CA 92113 | 2014-10-22 |
| 1831507300 | Olga Vasileva | Student in an Organized Health Care Education/Training Program | 2865 Logan Avenue, San Diego, CA 92113 | 2014-07-29 |
| 1477961951 | Angelica Quezada | Counselor | 32510 Newton Avenue B103, San Diego, CA 92113 | 2014-07-28 |
| 1477986750 | Anita Pena | Licensed Vocational Nurse | 604 Olivewood Ter, San Diego, CA 92113 | 2013-08-09 |
| 1134459399 | Susana Cabada | Technician, Other | 4031 Marine View Ave., San Diego, CA 92113 | 2010-01-11 |
| 1669595609 | Maria Emilia Siller | Registered Nurse | 3177a Oceanview Blvd, San Diego, AL 92113 | 2007-04-06 |
| 1710009691 | Maria Engracia Siordia | Licensed Vocational Nurse | 3177a Ocean View Blvd, San Diego, CA 92113 | 2007-04-04 |
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| 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 |
|---|---|---|---|---|
| 1033716204 | Julianne A. Demery | Student in an Organized Health Care Education/Training Program | Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 | 2020-10-01 |
| 1649885732 | Leanne Evalyn Morancie | Student in an Organized Health Care Education/Training Program | 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 | 2020-09-15 |
| 1689288136 | Melissa Eileen Fitzgibbon | Student in an Organized Health Care Education/Training Program | 5114 63rd St, San Diego, CA 92115-1407 | 2020-09-02 |
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1861004392 | Mareena Biju | Student in an Organized Health Care Education/Training Program | 10995 Evening Creek Dr E, San Diego, CA 92128-4009 | 2020-08-17 |
| 1184235202 | Taylor G Wasko | Student in an Organized Health Care Education/Training Program | 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 | 2020-08-12 |
| 1790394245 | Elisa Melo Da Silva Smerik | Student in an Organized Health Care Education/Training Program | 3235 Loma Riviera Dr, San Diego, CA 92110-5511 | 2020-07-29 |
| 1215554076 | Ana Mohammad-zadeh | Student in an Organized Health Care Education/Training Program | 17289 Russet St, San Diego, CA 92127-2135 | 2020-06-28 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
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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.