ADVANCE NURSING PRACTICE MEDICAL GROUP INC (NPI# 1699288993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699288993 |
| Entity Type | Organization |
| Organization Name | ADVANCE NURSING PRACTICE MEDICAL GROUP INC |
| Practice Address |
1409 Lecourbe Ct Modesto CA 95356-8905 |
| Practice Telephone | 2098724323 |
| Practice Fax Number | 2094098239 |
| Mailing Telephone | 2098724323 |
| Mailing Fax Number | 2094098239 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | MRS. JOSELYN ARANDIA DECULING (PRESIDENT) |
| Authorized Official Telephone | 2098724323 |
| Authorized Official Credential | RN, NP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1409 LECOURBE CT |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568945285 | Katherine Marcela Pettyjohn | Clinic/Center | 1409 Lecourbe Ct, Modesto, CA 95356-8905 | 2018-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227797 | Beverly M Hodges Advanced Practice Registered Nursing Inc | Nurse Practitioner | 814 14th St Ste E, Modesto, CA 95354-1028 | 2020-08-24 |
| 1417575747 | Jyotishna Narayan | Nurse Practitioner | 1801 H St Ste C, Modesto, CA 95354-1221 | 2020-07-13 |
| 1134746019 | Michael They | Nurse Practitioner | 802 14th St Ste N, Modesto, CA 95354-1029 | 2020-06-26 |
| 1528604543 | Kristy Leann Fullard | Nurse Practitioner | 2012 Kendall Ave, Modesto, CA 95355-3280 | 2019-11-25 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1154830842 | Maria Christina Romasanta Quintana | Nurse Practitioner | 2416 La Playa Ln, Modesto, CA 95355-7952 | 2017-09-25 |
| 1538690607 | Myla Urbano | Nurse Practitioner | 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 | 2017-03-21 |
| 1467808758 | Prakriti Prashanta Janz-navarro | Nurse Practitioner | 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 | 2016-05-05 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| 1033511910 | Tanuja Bhattessa | Nurse Practitioner | 1930 River Tree Ln, Modesto, CA 95351-4541 | 2014-09-22 |
| Find all providers in MODESTO | ||||
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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.