PA IA THOR (NPI# 1912360520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912360520 |
| Entity Type | Individual |
| Full Name | PA IA THOR |
| Practice Address |
2100 Capitol Ave Sacramento CA 95816-5721 |
| Mailing Address |
545 Cape Breton Ln Tracy CA 95377-6641 |
| Practice Telephone | 9164424985 |
| Mailing Telephone | 9202774959 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2100 CAPITOL AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190022 | Jennifer Pontz Slocum | Nurse Practitioner | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2005-10-29 |
| 1760019103 | Chanel Ligsay Blanco | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2020-03-25 |
| 1528699857 | Haylee Smith | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2020-01-27 |
| 1326600875 | Bennett Smith | Licensed Vocational Nurse | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2019-07-05 |
| 1194208405 | Vidya Balakrishnan | Physician Assistant | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2018-09-12 |
| 1528566700 | Renee Yvonne Hudson | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2018-01-23 |
| 1336677715 | Neng H Vang | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2017-05-30 |
| 1316497365 | Miriam Banuelos | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2016-10-13 |
| 1952775868 | Nichole Le Ann Martin | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2015-11-17 |
| 1336516343 | Shardon Smith | Counselor | 2100 Capitol Ave, Sacramento, CA 95816-5721 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on PA IA THOR.
| 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.