TANYA DENISE STEVENSON-GAINES


Address: 13988 Royal Melbourne Sq, San Diego, CA 92128-3646
Phone: 8584447007

TANYA DENISE STEVENSON-GAINES (NPI# 1609431196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609431196
Entity Type Individual
Full Name TANYA DENISE STEVENSON-GAINES
Practice Address 13988 Royal Melbourne Sq
San Diego
CA 92128-3646
Practice Telephone 8584447007
Mailing Telephone 8584447007
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP95010556 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13988 ROYAL MELBOURNE SQ
City SAN DIEGO
State CA
Zip Code 92128-3646

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1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457788598 Christopher John Reddin Nurse Practitioner Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2013-10-03
1356650634 Jamie M Sorenson Nurse Practitioner Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 2010-10-04
1023345204 Nelda K. Coleman Nurse Practitioner 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 2009-11-10
1972506483 Steven G Hogan Nurse Practitioner 8810 Rio San Diego Dr, San Diego, CA 92108-1698 2005-05-30
1396358024 Stephanie Joyce Reed Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-08-24
1104442185 Joshua Don Dougherty Nurse Practitioner 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 2020-06-24
1801422258 Safiya Damali Daley Nurse Practitioner 1675 Morena Blvd, San Diego, CA 92110-3703 2020-03-17
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1538790605 Kat Tupas Balingit Nurse Practitioner 140 Arbor Dr, San Diego, CA 92103-2007 2020-01-28
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Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

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.

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