MRS. SHELLEY MARIE KOHL (NPI# 1750643664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750643664 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY MARIE KOHL |
| Credential | C.P.C.P. CERT. |
| Practice Address |
425 E. Center St Suite 1 Manteca CA 95336 |
| Mailing Address |
425 E Center St Ste 1 Manteca CA 95336-4727 |
| Practice Telephone | 2094567056 |
| Practice Fax Number | 2092393033 |
| Mailing Telephone | 2094567056 |
| Mailing Fax Number | 2092393033 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
425 E. CENTER ST SUITE 1 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| 1952604357 | Vivian Yen Diep | Optometrist | 302 Northgate Dr, Manteca, CA 95336 | 2010-12-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809621 | Diane Vincent Sharp | Specialist/Technologist, Other | 180 Leveland Ln Ste 1b, Modesto, CA 95350-2254 | 2020-07-28 |
| 1235791161 | Heidi Henderson | Specialist/Technologist, Other | 10606 Hageman Rd Ste B4, Bakersfield, CA 93312-9109 | 2019-07-01 |
| 1801304621 | Id Acupuncture | Specialist/Technologist, Other | 13851 E 14th St Ste 203, San Leandro, CA 94578-2627 | 2018-01-15 |
| 1528574084 | Laura Becker | Specialist/Technologist, Other | 1155 Palm Ave, Imperial Beach, Imperial Beach, CA 91932-9193 | 2017-12-20 |
| 1225583073 | Kathleen Mcgraw | Specialist/Technologist, Other | 25030 Avenue Stanford Ste 100, Valencia, CA 91355-4505 | 2016-08-22 |
| 1932555042 | Dawn Percer | Specialist/Technologist, Other | 29377 Rancho California Rd Ste 101, Temecula, CA 92591-5206 | 2016-05-06 |
| 1104282177 | Shane Wallin | Specialist/Technologist, Other | 1968 Garnet Ave, San Diego, CA 92109-3555 | 2016-01-06 |
| 1700286804 | Holly Feneht | Specialist/Technologist, Other | 21826 Grovepark Dr, Saugus, CA 91350-1616 | 2014-08-26 |
| 1285057273 | Restorative Ink Specialists | Specialist/Technologist, Other | 1218 Irvine Blvd # 13, Tustin, CA 92780-3531 | 2014-01-27 |
| 1598045577 | Jill Hoyer | Specialist/Technologist, Other | 413b Monterey Ave, Los Gatos, CA 95030-5302 | 2011-08-23 |
| 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.