MS. AMANDA YVETTE THEOLET (NPI# 1720600364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720600364 |
| Entity Type | Individual |
| Full Name | MS. AMANDA YVETTE THEOLET |
| Other Name | MS. AMANDA YVETTE HOLGUIN |
| Credential | CLINICAL NURSE LEADE |
| Practice Address |
2615 E Clinton Ave Fresno CA 93703-2223 |
| Mailing Address |
81 Lakeshore Dr San Francisco CA 94132-1117 |
| Practice Telephone | 5592256100 |
| Mailing Telephone | 5599786719 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
95210279 | CA | Nursing Service Providers |
| Street Address |
2615 E CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862335 | Gene Raymond Conley | Internal Medicine | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2005-06-27 |
| 1699372839 | Shannon Mondry | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-10-01 |
| 1285249276 | Lauren La Violette | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-15 |
| 1982218251 | Ariel Celeste Sojourner Reid | Psychologist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-03 |
| 1477164432 | Claire Henry | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-08-13 |
| 1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
| 1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
| 1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
| 1346864600 | Maria Luisa Kitongan Akia | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-02 |
| 1528681376 | Sharon Heng | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041966 | Rolly Abutal Comia | Registered Nurse | 6963 E Michigan Ave, Fresno, CA 93727-1443 | 2020-07-28 |
| 1275043770 | Granite Ridge Home Health Nursing Care, Inc. | Registered Nurse | 11624 N Via Venitzia Ave, Fresno, CA 93730-7035 | 2017-10-10 |
| 1558871053 | Frank Kelly | Registered Nurse | 11624 N Via Venitzia Ave, Fresno, CA 93730-7035 | 2017-10-10 |
| 1003339532 | Angelia Ruble Thompson | Registered Nurse | 2823 Fresno St, Fresno, CA 93721-1324 | 2017-07-17 |
| 1124199823 | Tricia Soliz | Registered Nurse | 445 S Cedar Ave, Fresno, CA 93702-2907 | 2006-11-13 |
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| 1144828112 | Julie Hamilton | Registered Nurse | 19065 Chole Rd, Apple Valley, CA 92307-4610 | 2020-10-13 |
| 1316550452 | Amy Lynn Carter | Registered Nurse | 1874 Marlowe St, Thousand Oaks, CA 91360-3331 | 2020-08-28 |
| 1639782501 | Jacqueline Ovsepyan | Registered Nurse | 1628 Glenwood Rd, Glendale, CA 91201-1839 | 2020-08-28 |
| 1336766898 | Carolyn Ashley Eggert | Registered Nurse | 3073 Jaffrey St, Roseville, CA 95747-4291 | 2020-07-01 |
| 1992322424 | Garry Thomas Helgeson | Registered Nurse | 25476 Via Alcira, Valencia, CA 91355-2912 | 2020-07-01 |
| 1992327753 | Brendan R Siebert | Registered Nurse | 1724 Laurel Rd, Oceanside, CA 92054-6150 | 2020-05-14 |
| 1437771680 | Zahra Hamidi | Registered Nurse | 2024 Helen Rd, Pleasant Hill, CA 94523-2714 | 2020-05-11 |
| 1134740715 | Jessica Gall | Registered Nurse | 580 Via Del Caballo, San Marcos, CA 92078-8910 | 2020-05-05 |
| 1881214237 | Kimberly Noche Abido | Registered Nurse | 13540 Brandon Ct, Fontana, CA 92336-3943 | 2020-04-25 |
| 1740800127 | Ruel Rey O Alavanza | Registered Nurse | 11606 Anderson St, Loma Linda, CA 92354-3457 | 2020-04-25 |
| 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.