DAVID ANDREW KIRKPATRICK (NPI# 1376012559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376012559 |
| Entity Type | Individual |
| Full Name | DAVID ANDREW KIRKPATRICK |
| Practice Address |
1904 Richland Ave Bldg D Ceres CA 95307 |
| Mailing Address |
1904 Richland Ave Ceres CA 95307-4562 |
| Practice Telephone | 2095584600 |
| Mailing Telephone | 2095584600 |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2019-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374700000X | Technician | Nursing Service Related Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2095584600 | |
| 650 Seaborg St, Turlock, CA 953820941 | 2092506891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003138256 | David Berg Kirkpatrick | Physician Assistant | 354 W Adams Ave, Sisters, OR 97759-2619 | 2010-02-15 |
| 1811007024 | David Michael Kirkpatrick | Dentist | 1027 High Street, Hamilton, OH 45011-6012 | 2006-08-30 |
| 1346309747 | David Kirkpatrick | Dentist | 2150 Harden Blvd, Lakeland, FL 33803-5917 | 2006-12-08 |
| 1619954021 | David Dale Kirkpatrick IIi | Surgery | 7502 State Rd, Ste. 1180, Cincinnati, OH 45255-2800 | 2005-12-28 |
| 1568451904 | David L Kirkpatrick | Optometrist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2005-10-18 |
| Street Address |
1904 RICHLAND AVE BLDG D |
| City | CERES |
| State | CA |
| Zip Code | 95307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348075 | Samantha Valladares | Social Worker | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2013-12-19 |
| 1629676325 | Erica Hide Tinajero | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2020-10-14 |
| 1356948442 | Andrea Lindsey Silva | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2020-10-02 |
| 1386286383 | Christy Cupit | Marriage & Family Therapist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2019-10-10 |
| 1396386934 | Bryan Bolduc | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2019-10-04 |
| 1295392801 | Nicole Lynette Dove | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2019-05-20 |
| 1265834790 | Huey Peing Tan | Counselor | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1235618794 | Jessica Danette Miller | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307 | 2018-08-07 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581634 | Fanny Raquel Aviles | Peer Specialist | 1904 Richland Ave # D, Ceres, CA 95307-4562 | 2019-04-30 |
| 1629676325 | Erica Hide Tinajero | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2020-10-14 |
| 1356948442 | Andrea Lindsey Silva | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2020-10-02 |
| 1548827389 | Laurissa Artiaga | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-05-28 |
| 1295392801 | Nicole Lynette Dove | Peer Specialist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2019-05-20 |
| 1588228217 | Denise Hamilton | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-04-29 |
| 1710541396 | Diane Cox Delcarlo | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-04-29 |
| 1295399194 | Christopher Paul Gatlin | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-04-25 |
| 1285298315 | Alexandra Marie Lizon | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-04-24 |
| 1184288235 | Matthew Steven Prier | Peer Specialist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-04-24 |
| Find all providers in CERES | ||||
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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.