KRISTA COURTNEY DIZON DACASIN (NPI# 1396343570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396343570 |
| Entity Type | Individual |
| Full Name | KRISTA COURTNEY DIZON DACASIN |
| Credential | MSN, APRN-CNP, FNP-C |
| Practice Address |
9890 Cape Verde Dr Elk Grove CA 95757-6329 |
| Practice Telephone | 6617428579 |
| Mailing Telephone | 6617428579 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
832576 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9890 CAPE VERDE DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715507 | Peggy Dip | Nurse Practitioner | 9580 Rockybrook Way, Elk Grove, CA 95624-4055 | 2020-06-18 |
| 1750904751 | Emmanuel Oliva Aglubat | Nurse Practitioner | 9746 Forest View Ct, Elk Grove, CA 95757-2606 | 2020-05-26 |
| 1790317873 | Dennis Nguyen | Nurse Practitioner | 9428 Havenview Way, Elk Grove, CA 95624-6032 | 2020-02-06 |
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1710452826 | Arnold Altiveros | Nurse Practitioner | 9589 Four Winds Dr Apt 1217, Elk Grove, CA 95758-7146 | 2018-10-04 |
| 1548747520 | Oby Som-anya | Nurse Practitioner | 7226 Novato Ct, Elk Grove, CA 95757-3462 | 2018-07-23 |
| 1710474317 | Melissa Anne-su Huynh | Nurse Practitioner | 10313 Hite Cir, Elk Grove, CA 95757-3522 | 2018-04-18 |
| 1760979637 | Laurence Nikko Crisostomo | Nurse Practitioner | 6617 Tronzano Way, Elk Grove, CA 95757-3057 | 2018-04-17 |
| 1265971527 | Arnecia Lewis-smith | Nurse Practitioner | 9401 E Stockton Blvd Ste 150, Elk Grove, CA 95624-5051 | 2017-02-20 |
| 1336692474 | Sophie Vang | Nurse Practitioner | 10072 Mosaic Way, Elk Grove, CA 95757-5959 | 2016-07-25 |
| Find all providers in ELK GROVE | ||||
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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.