CHRISTIE LEIGH REPPART (NPI# 1558755512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558755512 |
| Entity Type | Individual |
| Full Name | CHRISTIE LEIGH REPPART |
| Practice Address |
2620 Industry Way Ste C Lynwood CA 90262-4042 |
| Mailing Address |
2610 Industry Way Suite A Lynwood CA 90262-4283 |
| Practice Telephone | 3106318004 |
| Mailing Telephone | 3106318004 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW86599 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2620 INDUSTRY WAY STE C |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639616493 | Gloria Annette Johnson | Case Manager/Care Coordinator | 2620 Industry Way Ste C, Lynwood, CA 90262-4042 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700307741 | Makenzie Anne Muilenburg | Counselor | 4807 196th St Sw (floor 2), Lynwood, WA 98306 | 2017-06-29 |
| 1649723487 | Roxana Chavez | Counselor | 3680 E Imperial Hwy Ste 200, Lynwood, CA 90262-2663 | 2016-07-28 |
| 1316303605 | Karen S. Keeton | Counselor | 19101 36th Avenue West, Suite 208, Lynwood, WA 98036 | 2016-01-03 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1487929501 | Janet F Stewart-lofton | Counselor | 19805 Crescent Ave, Lynwood, IL 60411-1413 | 2012-03-22 |
| 1427207430 | Beatriz Jimenez Duenas | Counselor | 3823 Le Sage St, Lynwood, CA 90262-2821 | 2008-09-15 |
| 1447412283 | Maria Jose Romero | Counselor | 11000 California Ave, Lynwood, CA 90262-2502 | 2008-07-01 |
| 1346436540 | Beatriz Gonzalez | Counselor | 3680 E. Imperial Hwy., 2nd Floor Suite #220, Lynwood, CA 90262-3805 | 2007-09-20 |
| 1700913688 | Jordon Epps | Counselor | 3737 Martin Luther King Jr Blvd Ste 550, Lynwood, CA 90262-3536 | 2007-02-27 |
| 1538295449 | Yesenia Maria Carmona | Counselor | 2620 Industry Way, Lynwood, CA 90262 | 2007-02-26 |
| Find all providers in LYNWOOD | ||||
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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.