MRS. KATHY FICCO (NPI# 1679920342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679920342 |
| Entity Type | Individual |
| Full Name | MRS. KATHY FICCO |
| Credential | RN |
| Practice Address |
1905 Novato Blvd Novato CA 94947-2912 |
| Practice Telephone | 4158976884 |
| Practice Fax Number | 4158971585 |
| Mailing Telephone | 4158976884 |
| Mailing Fax Number | 4158971585 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
235931 | CA | Nursing Service Providers |
| Street Address |
1905 NOVATO BLVD |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048495 | Senior Access | Clinic/Center | 1905 Novato Blvd, Novato, CA 94947-2912 | 2007-05-03 |
| 1063968527 | Amanda Mallory Jones | Registered Nurse | 1905 Novato Blvd, Novato, CA 94947-2912 | 2016-08-25 |
| 1821384496 | Christine Flanders Koenig | Social Worker | 1905 Novato Blvd, Novato, CA 94947-2912 | 2011-06-22 |
| 1992952360 | Marjorie Belknap | Internal Medicine | 1905 Novato Blvd, Novato, CA 94947-2912 | 2008-08-27 |
| 1487814349 | Lifelong Medical Care | Clinic/Center | 1905 Novato Blvd, Novato, CA 94947-2912 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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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.