MRS. OTERIA RANDALL KOAYEN (NPI# 1508060237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508060237 |
| Entity Type | Individual |
| Full Name | MRS. OTERIA RANDALL KOAYEN |
| Other Name | OTERIA RANDALL KOAYEN |
| Practice Address |
1166 Brooktrail Dr 1900 Fruitvale Ave Suite 3e Pittsburg CA 94565-7627 |
| Mailing Address |
1166 Brooktrail Dr Pittsburg CA 94565-7627 |
| Practice Telephone | 9252619953 |
| Mailing Telephone | 9252619953 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
15439 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1166 BROOKTRAIL DR 1900 FRUITVALE AVE SUITE 3E |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108151 | Jennifer L Winters | Nurse Practitioner | 1011 Camino Del Rio S Ste 415, San Diego, CA 92108-3531 | 2020-06-11 |
| 1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
| 1629528278 | Angelynn Kitzerow | Nurse Practitioner | 1287b Arguello Blvd, San Francisco, CA 94122-2755 | 2016-10-06 |
| 1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
| 1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
| 1114934346 | Nicole Danielle Carrillo | Nurse Practitioner | 623 Broderick St, San Francisco, CA 94117-1411 | 2006-08-01 |
| 1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| 1952913634 | Honey R Beddingfield | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
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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.