RUBY LAURA WALLS (NPI# 1740496314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740496314 |
| Entity Type | Individual |
| Full Name | RUBY LAURA WALLS |
| Practice Address |
421 E Morris Ave Modesto CA 95354-0437 |
| Practice Telephone | 2095588550 |
| Practice Fax Number | 2095588918 |
| Mailing Telephone | 2095588550 |
| Mailing Fax Number | 2095588918 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
421 E MORRIS AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1821617788 | Vivian Lopez | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2020-04-10 |
| 1952966178 | Francesca Cantu | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-05-02 |
| 1144884107 | Stevie Rattell | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-25 |
| 1023672391 | Esmeralda Garza Sandoval Jr. | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-23 |
| 1932762424 | Virginia M. Sigala | Prevention Professional | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
| 1710540240 | Valerie Denise Van Tuinen | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
| 1609439108 | Enedelia N/a Garcia | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
| 1366005886 | Debra Marie May | Case Manager/Care Coordinator | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
| 1568025062 | Diana Vielka Palacio | Technician | 421 E Morris Ave, Modesto, CA 95354-0437 | 2019-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982123543 | Joanne Willis | Counselor | 5815 Stoddard Rd, Modesto, CA 95356-9041 | 2017-09-14 |
| 1427420694 | Liliana Pulido | Counselor | 3001 Health Care Way Ste 102, Modesto, CA 95356-8510 | 2015-10-27 |
| 1801095500 | Cynthia Ocanada | Counselor | 1201 Crater Ave, Modesto, CA 95351-7311 | 2007-07-12 |
| 1750421574 | Sonia A Greer | Counselor | 1400 K St, Suite B, Modesto, CA 95354-1018 | 2007-02-08 |
| 1629137740 | Heather Lynn Smith | Counselor | 4220 Kindred Ct, Modesto, CA 95356-1870 | 2006-12-06 |
| 1972677839 | Shelly Denise Booker | Counselor | 1235 Mchenry Ave Ste A&b, Modesto, CA 95350-5370 | 2006-11-20 |
| 1124634514 | Yahaira Judith Andrade | Counselor | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-09-21 |
| 1245849314 | Annamarie Rae Pedroza | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2020-07-24 |
| 1255957221 | Nathan Chalk | Counselor | 1540 Florida Ave, Modesto, CA 95350-4430 | 2020-06-24 |
| 1972138386 | A Nd T Hope 4 Change | Counselor | 1101 Standiford Ave, Modesto, CA 95350-0982 | 2020-03-05 |
| 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.