MS. KRISTY MARIE DEMERATH (NPI# 1558900563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558900563 |
| Entity Type | Individual |
| Full Name | MS. KRISTY MARIE DEMERATH |
| Practice Address |
1001 S Hale Ave Spc 54 Escondido CA 92029-2177 |
| Mailing Address |
41647 Big Sage Ct Temecula CA 92591-1548 |
| Practice Telephone | 7607298295 |
| Mailing Telephone | 9517647080 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | B8893192 | 01 |
| Street Address |
1001 S HALE AVE SPC 54 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169264 | Matthew Lee Alverson | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2019-08-13 |
| 1356958151 | Amelia Diaz | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-09-25 |
| 1952914467 | Ma Dolores Hernandez | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-08-25 |
| 1952910705 | Millicent Gabrielle Moore | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-07-28 |
| 1881226454 | Christina Helen Ramirez-corza | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-02-11 |
| 1437709524 | Jose Ramon Aldaz | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909438 | Uni Care At Home, Inc. | Technician | 1510 S Escondido Blvd # 103, Escondido, CA 92025-6017 | 2020-07-09 |
| 1871113712 | Guadalupe Luna | Technician | 1321 Eagle Gln, Escondido, CA 92029-3135 | 2020-04-21 |
| 1801430640 | Barbara Alice Milligan | Technician | 4045 Vortex Pl, Escondido, CA 92025-7924 | 2019-11-05 |
| 1679123079 | Maribel Velasco | Technician | 1001 S Hale Ave, Escondido, CA 92029-2174 | 2019-09-17 |
| 1407404973 | Angelita Espinoza | Technician | 1705 Pinehurst Ave, Escondido, CA 92026-1874 | 2019-08-28 |
| 1073169264 | Matthew Lee Alverson | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2019-08-13 |
| 1174179717 | Jesus Rodriguez | Technician | 1115 Camellia St, Escondido, CA 92027-1533 | 2019-08-09 |
| 1356958151 | Amelia Diaz | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-09-25 |
| 1952914467 | Ma Dolores Hernandez | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-08-25 |
| 1952910705 | Millicent Gabrielle Moore | Technician | 1001 S Hale Ave Spc 54, Escondido, CA 92029-2177 | 2020-07-28 |
| Find all providers in ESCONDIDO | ||||
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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.