MS. TERESA MARIE HARVATIN (NPI# 1295862126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862126 |
| Entity Type | Individual |
| Full Name | MS. TERESA MARIE HARVATIN |
| Other Name | TERESA MARIE LOTTON |
| Credential | DNP, ACNP-BC |
| Practice Address |
11234 Anderson St # 1617 Loma Linda CA 92354-2804 |
| Practice Telephone | 9095584200 |
| Practice Fax Number | 9095584200 |
| Mailing Telephone | 9095584200 |
| Mailing Fax Number | 9095584212 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 103285 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95007639 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
832818 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2101 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07826512 | 05 | |
| LA | 2136771 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 2547242111 |
| Street Address |
11234 ANDERSON ST # 1617 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154633709 | Anas Alani | Internal Medicine | 11234 Anderson St # 1617, Loma Linda, CA 92354-2804 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1194175752 | Robin Pueschel | Nurse Practitioner | 25455 Barton Rd Ste 101b, Loma Linda, CA 92354-3139 | 2016-06-15 |
| 1659939510 | Jesus Navarro | Nurse Practitioner | 11234 Anderson St., Schuman Pavilion 1637, Loma Linda, CA 92354 | 2019-06-04 |
| 1568922599 | Helen Ngo | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-03-25 |
| 1164905956 | Tram Giang Hoang Phan | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-09-08 |
| 1790285526 | Thomas Dean Hughes | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354 | 2018-02-19 |
| 1225547854 | Candy Miranda | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2017-09-27 |
| 1801338157 | Panicha Kittipha | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2016-11-16 |
| 1508317843 | Anaita Jasmine Panthaky | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2016-10-21 |
| 1518418136 | Anna-marie Sims | Nurse Practitioner | 11234 Anderson St, Room 2562b, Loma Linda, CA 92354-2804 | 2016-10-19 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on MS. TERESA MARIE HARVATIN.
| 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.