JACQUELINE FITZGERALD CLOSE I (NPI# 1780212993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780212993 |
| Entity Type | Individual |
| Full Name | JACQUELINE FITZGERALD CLOSE I |
| Credential | GCNS-BC |
| Practice Address |
11188 Carlota St San Diego CA 92129-1212 |
| Practice Telephone | 8587753154 |
| Mailing Telephone | 8587753154 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
2385 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740329333 | Jacqueline Renee Close | Acupuncturist | 2324 Eastlake Ave E, Suite 100, Seattle, WA 98102-3345 | 2007-02-06 |
| Street Address |
11188 CARLOTA ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92129-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053836718 | Emily Anne Haven | Physical Therapist | 9351 Vervain Street, San Diego, CA 92129 | 2017-08-03 |
| 1366802944 | Katie Nguyen | Pharmacist | 13014 Lemon Pine Ct, San Diego, CA 92129 | 2016-02-25 |
| 1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
| 1184034746 | Jim S Chang | Dentist | 12798 Rancho Penasquitos Blvd # 1, San Diego, CA 92129 | 2014-05-05 |
| 1841627593 | John Richard Codington | Dentist | 9728 Carmel Mountain Ro., Suite B, San Diego, CA 92129 | 2013-09-26 |
| 1407298284 | Michael Saade | Dentist | 9310 Carmel Mountain Rd Ste A, San Diego, CA 92129 | 2013-07-22 |
| 1801141338 | Satnick Chiropractic | Acupuncturist | 12880 Rancho Penasquitos Blvd, Steb, San Diego, CA 92129 | 2012-07-20 |
| 1558627463 | Louise Jeremia Gatchalian Angelo | Student in an Organized Health Care Education/Training Program | 9434 Twin Trails Dr, Unit 201, San Diego, CA 92129 | 2012-04-04 |
| 1093965477 | Joanne C Vargas-velasco | Dentist | 12580 Ragweed Street, San Diego, CA 92129 | 2008-09-23 |
| 1699960377 | Robert B Case | Social Worker | 12602 Spindletop Rd, San Diego, CA 92129 | 2007-09-06 |
| Find all providers in zip 92129 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457756413 | Ann M. Mayo | Clinical Nurse Specialist | 806 Vanitie Ct, San Diego, CA 92109-7038 | 2014-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339602 | Darryl De Los Angeles | Clinical Nurse Specialist | 8016 Paso Robles Ave, Lake Balboa, CA 91406-1124 | 2019-11-05 |
| 1841704921 | Juliet Li-yeh Shih | Clinical Nurse Specialist | 4131 Geary Blvd # 402, San Francisco, CA 94118-3101 | 2017-11-27 |
| 1235597352 | Edna Culp | Clinical Nurse Specialist | 14562 High Pine St, Poway, CA 92064-5918 | 2016-02-03 |
| 1467727313 | Catherine Caston | Clinical Nurse Specialist | 412 N Bellflower Blvd, Unit # 312, Long Beach, CA 90814-2055 | 2012-03-11 |
| 1689730590 | Karen Sheng | Clinical Nurse Specialist | 901 Marshall St, Redwood City, CA 94063-2026 | 2006-12-28 |
| 1851455372 | Charles Wayne Williams | Clinical Nurse Specialist | 5040 Brabant Ct, Elk Grove, CA 95757-3295 | 2006-12-20 |
| 1275146870 | Mary Katharine Salas | Clinical Nurse Specialist | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2020-08-25 |
| 1881238780 | Maria Nerina Girasol | Clinical Nurse Specialist | 28202 Cabot Rd, Laguna Niguel, CA 92677-1222 | 2019-11-04 |
| 1609425776 | Christa Perryman | Clinical Nurse Specialist | 1100 Veterans Blvd, Redwood City, CA 94063-2037 | 2019-09-10 |
| 1023515699 | Cheryl Ann Dankiewicz | Clinical Nurse Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2018-04-10 |
| 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.