ANDREW STEPHENS (NPI# 1609424175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609424175 |
| Entity Type | Individual |
| Full Name | ANDREW STEPHENS |
| Practice Address |
Dgmc 101 Bodin Cir Fairfield CA 94533 |
| Mailing Address |
5228 Glide Dr Davis CA 95618-4423 |
| Practice Telephone | 7075235005 |
| Mailing Telephone | 8064077007 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347760 | Andrew Stephens | Counselor | 4274 Front St, Winnsboro, LA 71295-4139 | 2016-03-03 |
| 1205855962 | Andrew B Stephens | Physical Therapist | 49 Deye Lane, Eastsound, WA 98245 | 2006-07-19 |
| 1336306604 | Andrew Jay Stephens | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2008-05-22 |
| 1992995880 | Andrew Stephens | Social Worker | 49 Nursery Ln Ste 201, Fitchburg, MA 01420-3576 | 2007-07-27 |
| 1639371214 | Andrew Boyd Stephens | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-06-05 |
| 1912994278 | Andrew C. Stephens | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-10-03 |
| Street Address |
DGMC 101 BODIN CIR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| 1295107936 | Baongan Dang | Pharmacist | 2701 N. Texas, Fairfield, CA 94533 | 2015-10-21 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466493 | Lizbeth Padilla | Student in an Organized Health Care Education/Training Program | 1125 Hayes St, Fairfield, CA 94533-4707 | 2020-08-04 |
| 1003426024 | Rebecca M Dance | Student in an Organized Health Care Education/Training Program | 5752 David Pl, Fairfield, OH 45014-3508 | 2020-08-04 |
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1396368585 | Sadek Debwan | Student in an Organized Health Care Education/Training Program | 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 | 2020-05-21 |
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1023647989 | Maggie Giambalvo | Student in an Organized Health Care Education/Training Program | 752 Towne House Rd, Fairfield, CT 06824-1819 | 2020-04-03 |
| 1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
| 1427600550 | Nancy Ivette Bocanegra | Student in an Organized Health Care Education/Training Program | 1607 Clay St, Fairfield, CA 94533-3808 | 2019-07-09 |
| 1013481316 | Raquel Marie Divincenzo | Student in an Organized Health Care Education/Training Program | 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 | 2019-01-20 |
| 1679044366 | Monica Macchiarulo | Student in an Organized Health Care Education/Training Program | 628 Rowland Rd, Fairfield, CT 06824-6719 | 2018-12-06 |
| Find all providers in FAIRFIELD | ||||
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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.