KRISTIE MLYNN CYRUS (NPI# 1831531953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831531953 |
| Entity Type | Individual |
| Full Name | KRISTIE MLYNN CYRUS |
| Credential | N.P. |
| Practice Address |
5701 N West Ave Fresno CA 93711-2366 |
| Practice Telephone | 5594393000 |
| Practice Fax Number | 5594393004 |
| Mailing Telephone | 5594393000 |
| Mailing Fax Number | 5594393004 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 23249 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5701 N WEST AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395528 | Vivian Josephine Young | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2006-10-25 |
| 1255985412 | Brittney Michele Stanley | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2019-07-26 |
| 1568015121 | Lea Collier Pisching | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2019-07-22 |
| 1821567975 | Christina Stempson | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711-2366 | 2018-11-19 |
| 1982189064 | Jordan Cutts | Nurse Practitioner | 5701 N West Ave, Fresno, CA 93711 | 2018-09-25 |
| 1851769491 | Austin Lee | Physician Assistant | 5701 N West Ave, Fresno, CA 93711 | 2015-09-14 |
| 1275871972 | J. Scott Boswell, Md A Medical Corporation | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2013-01-30 |
| 1295936961 | John S Boswell | Dermatology | 5701 N West Ave, Fresno, CA 93711-2366 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
|---|---|---|---|---|
| 1134754963 | Jaspreet Kaur | Nurse Practitioner | 5810 E Laurite Ave, Fresno, CA 93727-9040 | 2020-03-12 |
| 1194351981 | Marian Montes | Nurse Practitioner | 6780 N West Ave Ste 101, Fresno, CA 93711-4305 | 2020-03-12 |
| 1821633082 | Ravneet Kaur | Nurse Practitioner | 6069 N 1st St, Fresno, CA 93710-5467 | 2019-11-12 |
| 1932674850 | Jacqueline Carino | Nurse Practitioner | 7215 N Fresno St Ste 101, Fresno, CA 93720-2969 | 2018-10-07 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1669915666 | Jehnette R Lopez | Nurse Practitioner | 45 River Park Place West, Suite 104, Fresno, CA 93720-1565 | 2016-11-22 |
| 1942653415 | Carolyn Ferguson | Nurse Practitioner | 1255 E. Herndon, Fresno, CA 93720-0000 | 2016-07-19 |
| 1144688524 | Kathy Donohue I | Nurse Practitioner | 3694 W Fir Ave, Fresno, CA 93711-0617 | 2016-02-01 |
| 1154787786 | Neeraj Juneja | Nurse Practitioner | 7202 N Millbrook Ave Ste 202, Fresno, CA 93720 | 2016-01-12 |
| 1447642145 | Omni Women's Health | Nurse Practitioner | 3812 N First St, Fresno, CA 93726 | 2015-03-04 |
| Find all providers in FRESNO | ||||
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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.