MRS. CANDICE RAINE HARBISON (NPI# 1578024154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578024154 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE RAINE HARBISON |
| Credential | RN |
| Practice Address |
2600 S El Camino Real San Mateo CA 94403-2380 |
| Practice Telephone | 6503938906 |
| Mailing Telephone | 6503938906 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 557404 | CA | Nursing Service Providers |
| Street Address |
2600 S EL CAMINO REAL |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326115452 | Damon Nim | Counselor | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2006-11-30 |
| 1275154254 | Pamela Patton | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-05-01 |
| 1891324703 | Jacqueline Frances Rutgers | Case Manager/Care Coordinator | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-04-02 |
| 1518591726 | Melody Pagan | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-02-26 |
| 1528604931 | Kaitlyn Kylie Paris | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-11-20 |
| 1851940928 | Katareena Done | Student in an Organized Health Care Education/Training Program | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-09-10 |
| 1073169496 | Lee Anthony Piombo | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1265088603 | Alison Barrera | Community Health Worker | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-08-12 |
| 1871153890 | Safat Azmi Mubarak | Counselor | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-06-20 |
| 1205393899 | Catherine A Mathews | Marriage & Family Therapist | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700238052 | Philip Rojas Mondejar | Registered Nurse | 809 N Delaware St, Apt. #2, San Mateo, CA 94401-1500 | 2016-07-11 |
| 1952776064 | Claire Harding | Registered Nurse | 147 Burbank Ave, San Mateo, CA 94403-5126 | 2015-12-01 |
| 1861825978 | Christian Vengco | Registered Nurse | 809 N Delaware St Apt 2, San Mateo, CA 94401-1584 | 2013-08-12 |
| 1114235280 | Melinda Ann Ricossa | Registered Nurse | 2000 Alameda, Ste 240, San Mateo, CA 94403-1269 | 2010-09-22 |
| 1225217623 | Jeannette C. Trajano | Registered Nurse | 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403-1293 | 2007-11-01 |
| 1497888036 | Stephanie Lacarrubba | Registered Nurse | 60 N El Camino Road, #c, San Mateo, CA 94401 | 2007-03-13 |
| 1487278040 | Vivian Huang | Registered Nurse | 29 Baywood Ave, San Mateo, CA 94402-1516 | 2020-05-29 |
| 1245850536 | Zylmira Ivonne Garcia | Registered Nurse | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-04-16 |
| 1518591726 | Melody Pagan | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2020-02-26 |
| 1528604931 | Kaitlyn Kylie Paris | Registered Nurse | 2600 S El Camino Real, San Mateo, CA 94403-2380 | 2019-11-20 |
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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.