SUPINDER KAUR RANDHAWA (NPI# 1821474230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821474230 |
| Entity Type | Individual |
| Full Name | SUPINDER KAUR RANDHAWA |
| Credential | NP |
| Practice Address |
2625 Fair Oaks Blvd Sacramento CA 95864-4936 |
| Practice Telephone | 9166463376 |
| Mailing Telephone | 9166466676 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95002473 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2625 FAIR OAKS BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95864-4936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782120 | Alison Ann Boudreaux | Dermatology | 2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 | 2006-03-07 |
| 1811323710 | Emily Renee Reisinger | Physician Assistant | 2625 Fair Oaks Blvd, #1, Sacramento, CA 95864 | 2013-09-24 |
| 1659408771 | Jacqueline M Calkin Md and Alison A Boudreaux Md A Professional Medica | Dermatology | 2625 Fair Oaks Blvd, Suite 1, Sacramento, CA 95864-4936 | 2007-02-27 |
| 1871561589 | Jacqueline Marie Calkin | Dermatology | 2625 Fair Oaks Blvd, Sacramento, CA 95864-4936 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239403 | Neda Afshar | Nurse Practitioner | 840 Laverstock Way, Sacramento, CA 95864 | 2015-07-08 |
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1235565573 | Peter Alexander Hagens Jr. | Pharmacist | 930 Somersby Way, Sacramento, CA 95864 | 2013-09-18 |
| 1700054020 | Summit Psychotherapy Associates, PC | Psychologist | 3610 American River Drive, Suite 140, Sacramento, CA 95864 | 2008-02-20 |
| 1619917887 | Jayanthi Meena Kasiraj | Psychologist | 2708 Latham Drive, Sacramento, CA 95864 | 2006-06-07 |
| 1790259141 | Elizabeth Morales | Behavior Technician | 591 Watt Ave, Sacramento, CA 95864 | 2019-01-18 |
| 1033636261 | Sarah Leary | Speech-Language Pathologist | 3205 Hurley Way, Sacramento, CA 95864 | 2017-08-28 |
| 1063933786 | Kirsten Elisabeth Sorensen | Pharmacist | 3240 Arden Way, Sacramento, CA 95864 | 2017-07-03 |
| 1104298033 | Bufcsac PC | Clinic/Center | 4345 Arden Way, Sacramento, CA 95864 | 2015-10-30 |
| 1255523569 | Susan L Boone | Dermatology | 9201 Big Horn Blvd, 2nd Floor, Sacramento, CA 95864 | 2007-08-10 |
| Find all providers in zip 95864 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342366 | Chelsea Hallford-reese | Nurse Practitioner | 5432 Leader Ave, Sacramento, CA 95841-2312 | 2020-10-02 |
| 1033749270 | Bernice Tan | Nurse Practitioner | 570 Bercut Dr, Sacramento, CA 95811-0105 | 2020-01-15 |
| 1669946687 | Erin Blaise | Nurse Practitioner | 100 Howe Ave Ste 240n, Sacramento, CA 95825-8214 | 2019-01-12 |
| 1356818819 | Joshua Naeger | Nurse Practitioner | 8715 Center Pkwy, Sacramento, CA 95823-7921 | 2018-11-01 |
| 1346716941 | Sarah Marie Woods | Nurse Practitioner | 3814 Auburn Blvd Ste 72, Sacramento, CA 95821-2123 | 2018-10-22 |
| 1629543343 | Manraj Kaur Sandhu | Nurse Practitioner | 1508 Alhambra Blvd # 200, Sacramento, CA 95816-6510 | 2018-10-09 |
| 1417432147 | Janette Bajo | Nurse Practitioner | 2725 Capitol Ave Dept 304, Sacramento, CA 95816-6006 | 2018-09-27 |
| 1356876981 | Sukhraj Mann | Nurse Practitioner | 2984 Muttonbird Way, Sacramento, CA 95834-2623 | 2017-04-20 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| 1083169908 | Joshua Reza Khoshsefat | Nurse Practitioner | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2016-08-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95864 |
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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.