MR. MICHAEL DAVID NITKA (NPI# 1609386184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609386184 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DAVID NITKA |
| Credential | RN |
| Practice Address |
1470 Civic Ct Concord CA 94520-5290 |
| Mailing Address |
3579 Pinot Noir Ct Dublin CA 94568-2556 |
| Practice Telephone | 9258254700 |
| Mailing Telephone | 6094053724 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95120316 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 163W00000X | 05 |
| Street Address |
1470 CIVIC CT |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558709600 | Staci J Digioia | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2013-06-11 |
| 1447851688 | Ebonie L Carlis | Occupational Therapist | 1470 Civic Ct, Suite 320, Concord, CA 94520 | 2020-11-04 |
| 1801434832 | Quinton C Walker | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-12-20 |
| 1952945248 | Jeffrey Kenneth Clark | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-10-30 |
| 1750949533 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-06-05 |
| 1235605650 | Liya Levanda | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Concord, CA 94520-5290 | 2018-10-23 |
| 1578014593 | Joel Thomas Cady | Student in an Organized Health Care Education/Training Program | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2016-10-14 |
| 1912350711 | Katherine Jacobsen | Case Management | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2016-07-15 |
| 1073998035 | Frida Eloisa Fossa | Counselor | 1470 Civic Ct, Concord, CA 94520-5290 | 2015-07-20 |
| 1134518400 | Courtney Avvampato | Counselor | 1470 Civic Ct, Suite 110, Concord, CA 94520-5290 | 2015-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891161 | Evan Herve Quadjovie | Registered Nurse | 3460 Zion Pl, Concord, CA 94518-2212 | 2020-02-02 |
| 1861930257 | Valentina Loreto-ashley | Registered Nurse | 2000 Parkside Dr, Concord, CA 94519-2528 | 2017-02-06 |
| 1306276555 | Jose Huitron | Registered Nurse | 3354 Woodhaven Ln, Concord, CA 94519-2020 | 2013-11-24 |
| 1922650910 | Lisa Auditore Reynolds | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-07-10 |
| 1215596838 | Janice Lavallee | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-06-07 |
| 1699331546 | Elizabeth Lamoureux Dine | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-05-16 |
| 1053977009 | Christine Jensik | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-05-15 |
| 1841856853 | Lisa Tautfest | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-05-15 |
| 1679032387 | Maria Teresa Baluis Alexander | Registered Nurse | 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | 2019-03-13 |
| 1033610126 | Mahri Morrow | Registered Nurse | 1959 Solano Way, Concord, CA 94520-5526 | 2018-02-23 |
| Find all providers in CONCORD | ||||
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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.