KRISTEN GRACE BRADLEY KEREKES (NPI# 1528328101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528328101 |
| Entity Type | Individual |
| Full Name | KRISTEN GRACE BRADLEY KEREKES |
| Other Name | KRISTEN GRACE BRADLEY |
| Credential | NP |
| Practice Address |
514 North Prospect Avenue 4th Floor Redondo Beach CA 90277-3040 |
| Practice Telephone | 3107503300 |
| Mailing Telephone | 3107503300 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 19196 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033501283 | Kristen Kerekes | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2015-02-25 |
| Street Address |
514 NORTH PROSPECT AVENUE 4TH FLOOR |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935819 | Chelsea Wolf | Nurse Practitioner | 1300 S Pacific Coast Hwy Ste 205, Redondo Beach, CA 90277-5003 | 2020-02-28 |
| 1174170476 | Saira Shaikh | Nurse Practitioner | 1611 S Catalina Ave Ste L701611, Redondo Beach, CA 90277-5255 | 2019-08-21 |
| 1346893310 | Stacy Kathleen Brinkmann | Nurse Practitioner | 530 Esplanade Apt 302, Redondo Beach, CA 90277-4017 | 2019-07-18 |
| 1073023420 | Amanda Joy Hall | Nurse Practitioner | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 | 2017-10-11 |
| 1477829612 | Simone Valente Morissette | Nurse Practitioner | 1415 Stanford Ave Apt 2, Redondo Beach, CA 90278-4054 | 2012-03-30 |
| 1235374596 | Orlando Lomboy Balala Jr. | Nurse Practitioner | 2409 Inglewood Ave Unit 3, Redondo Beach, CA 90278-2658 | 2008-12-15 |
| 1962843086 | Karen Martha Pinto | Nurse Practitioner | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2013-07-17 |
| 1740626100 | Annalissa Llavan Flores | Nurse Practitioner | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2013-05-13 |
| 1144558503 | Jessica Lynn Gunderson | Nurse Practitioner | 514 N Prospect Ave, 4th Floor, Redondo Beach, CA 90277-3036 | 2009-11-24 |
| 1407901838 | Alison Atkinson | Nurse Practitioner | 520 N Prospect Ave, Suite 300, Redondo Beach, CA 90277-3041 | 2007-01-24 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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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.