MS. MELISSA ANNE JETHANANDANI (NPI# 1508974791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974791 |
| Entity Type | Individual |
| Full Name | MS. MELISSA ANNE JETHANANDANI |
| Credential | NP |
| Practice Address |
245 11th St San Francisco CA 94103 |
| Mailing Address |
245 11th St. San Francisco CA 94103 |
| Practice Telephone | 4153550311 |
| Practice Fax Number | 8645121823 |
| Mailing Telephone | 4153550311 |
| Mailing Fax Number | 8645121823 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95002315 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0891 | 05 |
| Street Address |
245 11TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473735 | Ethan Huffman | Nurse Practitioner | 245 11th St, San Francisco, CA 94103-3732 | 2020-10-01 |
| 1700492212 | Janice K Yu | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-09-21 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1942834692 | Azizi Shautay Gupton | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-03-02 |
| 1649818295 | Marquita Thomas | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-12-13 |
| 1467094383 | Roshawn Mathews | Licensed Vocational Nurse | 245 11th St, San Francisco, CA 94103-3732 | 2019-10-11 |
| 1215595012 | Chenice A Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1215498670 | Tiffany M Andrade | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-28 |
| 1548720576 | Tam Nguyen | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| 1760029847 | Manpreet Kaur Pannu | Nurse Practitioner | 900 Hyde St Ste 413, San Francisco, CA 94109-4806 | 2019-12-07 |
| 1134761711 | Christianne Burns | Nurse Practitioner | 507 Polk St Ste 410, San Francisco, CA 94102-3396 | 2019-10-15 |
| 1366953259 | Marjan Bazzazi | Nurse Practitioner | 505 Parnasus Avenue, San Francisco, CA 94143 | 2017-10-18 |
| 1841617347 | Kristen Akemi Sada | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-0602 | 2014-03-21 |
| 1578849980 | Charles Primich | Nurse Practitioner | 8 Bernice St, Unit 206, San Francisco, CA 94103-4348 | 2011-10-30 |
| 1659599983 | Karen Triandafyllis | Nurse Practitioner | 995 Potrero Ave, Ward 93, San Francisco General Hospital, Otop, San Francisco, CA 94110 | 2007-04-23 |
| 1538248927 | Rosalind Mc Niesh Delisser | Nurse Practitioner | 2 Koret Way Rm N505g, Box 0608, San Francisco, CA 94143-0608 | 2006-11-04 |
| 1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
| 1962002600 | Arjun Gokhale | Nurse Practitioner | 360 Post St Ste 500, San Francisco, CA 94108-4908 | 2020-10-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on MS. MELISSA ANNE JETHANANDANI.
| 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.