CAROL DIANE WHITTENVILE (NPI# 1790829844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790829844 |
Entity Type | Individual |
Full Name | CAROL DIANE WHITTENVILE |
Credential | RN, CNS |
Practice Address |
3900 Broadway Oakland CA 94611-5616 |
Mailing Address |
801 Rosemount Rd Oakland CA 94610-2408 |
Practice Telephone | 4155701039 |
Mailing Telephone | 5108350559 |
Mailing Fax Number | 5108350559 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
373310 | CA | Nursing Service Providers |
X | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
373310 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3900 BROADWAY |
City | OAKLAND |
State | CA |
Zip Code | 94611-5616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649817974 | Mia Houtermans | Social Worker | 3900 Broadway, Oakland, CA 94611-5600 | 2019-12-05 |
1427510965 | Danielle Simien | Social Worker | 3900 Broadway, Oakland, CA 94611-5600 | 2019-04-03 |
1134625254 | Luz M Reyes | Marriage & Family Therapist | 3900 Broadway, Oakland, CA 94611-5616 | 2018-04-05 |
1851801450 | Caitlin Hamlin | Psychologist | 3900 Broadway, Oakland, CA 94611-5616 | 2017-10-09 |
1306210349 | Sangita Sungu | Social Worker | 3900 Broadway, Oakland, CA 94611-5616 | 2015-11-13 |
1407232085 | The Permanente Medical Group | Health Maintenance Organization | 3900 Broadway, Oakland, CA 94611-5693 | 2015-08-05 |
1629453840 | Margaret Chao | Psychologist | 3900 Broadway, Oakland, CA 94611-5616 | 2015-07-29 |
1023429701 | Kayla J Ribeiro | Social Worker | 3900 Broadway, Oakland, CA 94611-5616 | 2014-05-15 |
1790195634 | Roya Noorishad | Psychiatry & Neurology | 3900 Broadway, Oakland, CA 94611-5616 | 2014-04-30 |
1679991343 | Sean Toan Truong | Pharmacist | 3900 Broadway, Oakland, CA 94611-5600 | 2014-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
Find all providers in zip 94611 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134113236 | Kathleen Elizabeth Weston | Registered Nurse | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2005-09-02 |
1922638493 | Dana Johnson | Registered Nurse | 629 Oakland Ave, Oakland, CA 94611-4567 | 2020-01-23 |
1730373481 | Hanna Pepper | Registered Nurse | 2579 San Pablo Ave, Oakland, CA 94612-1159 | 2007-09-05 |
1902014483 | Evelyn Michiko Mihata | Registered Nurse | 568 W Grand Ave, Oakland, CA 94612-1618 | 2007-05-18 |
1770639106 | Linda O'brien | Registered Nurse | 3900 Broadway, Oakland, CA 94611-5616 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
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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.