MERRISA CARLSON (NPI# 1720551237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720551237 |
| Entity Type | Individual |
| Full Name | MERRISA CARLSON |
| Credential | NP |
| Practice Address |
800 N State College Blvd Fullerton CA 92831-3547 |
| Mailing Address |
7303 E Equitation Way Orange CA 92869-1020 |
| Practice Telephone | 6572783336 |
| Mailing Telephone | 7143962505 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95010406 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 N STATE COLLEGE BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641013 | Tricia Mikiko Kasamatsu | Specialist/Technologist | 800 N State College Blvd, Attn: Kinesiology, Fullerton, CA 92831-3547 | 2006-06-26 |
| 1538639919 | Anna Marie Peery | Midwife | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-11-28 |
| 1558860221 | Samuel Arnold | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-02-07 |
| 1013415967 | Andee Monterone | Student in an Organized Health Care Education/Training Program | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-25 |
| 1184132615 | Kevin Benjamin Perez | Counselor | 800 N State College Blvd, Fullerton, CA 92831-3599 | 2018-01-18 |
| 1487161147 | Holly Vigario | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-03 |
| 1992211403 | Juan Carlos Madrigal | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-12-19 |
| 1134655178 | Elena Soler | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-11 |
| 1982130415 | Jaime Potter | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-03 |
| 1265968721 | Kyle Anderson Burnett | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 93834-9001 | 2017-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578751087 | Norma Isela Bates | Nurse Practitioner | 313 N Sweet Ave, Fullerton, CA 92833-2455 | 2007-10-09 |
| 1497724611 | Liz Vargas | Nurse Practitioner | 637 Rosarita Dr, Fullerton, CA 92835-1840 | 2006-03-17 |
| 1558728717 | Jessica Lee Guevara-galan | Nurse Practitioner | 101 Laguna Rd Ste 100, Fullerton, CA 92835-3601 | 2016-01-19 |
| 1285870139 | Silvia O Rodriguez | Nurse Practitioner | 501 S Brookhurst Rd, Fullerton, CA 92833 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
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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.