MICHELLE DEAN BEAULIEU (NPI# 1922610377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922610377 |
| Entity Type | Individual |
| Full Name | MICHELLE DEAN BEAULIEU |
| Practice Address |
405 E Pine St Stockton CA 95204-5522 |
| Mailing Address |
3601 Pacific Ave Stockton CA 95211-0110 |
| Practice Telephone | 2094645519 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649675810 | Michelle Beaulieu | Dentist | 130 Centre St Ste 2, Bath, ME 04530-2598 | 2014-10-29 |
| 1457625444 | Michelle Leigh Beaulieu | Massage Therapist | 711a S Glencoe Rd, New Smyrna Beach, FL 32168-8223 | 2012-03-08 |
| 1003442856 | Michelle Mary Beaulieu | Occupational Therapist | 821 Daniel Shays Hwy, Athol, MA 01331-6903 | 2020-03-12 |
| 1760761712 | Michelle Anne Beaulieu | Social Worker | 2311 E Stadium Blvd, Suite 109, Ann Arbor, MI 48104-4833 | 2011-08-09 |
| Street Address |
405 E PINE ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851414189 | University of The Pacific | Community/Behavioral Health | 405 E Pine St, Stockton, CA 95204-5522 | 2007-04-10 |
| 1982217196 | Carmen Huang | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2020-08-27 |
| 1639789126 | Emily Worman | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2020-08-09 |
| 1831737857 | Gabriela Brizuela | Peer Specialist | 405 E Pine St, Stockton, CA 95204-5522 | 2019-12-20 |
| 1457901985 | Erin Leigh Crinklaw | Counselor | 405 E Pine St, Stockton, CA 95204-5522 | 2019-09-17 |
| 1144877465 | Samantha Carolton Crooks | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-08-21 |
| 1154983104 | Joshua Logan Gibson | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-06-30 |
| 1912567348 | Alissa Montanez | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2019-06-18 |
| 1376019984 | Wibecke Ferreira | Behavior Technician | 405 E Pine St, Stockton, CA 95204-5522 | 2018-10-22 |
| 1417437328 | Sarah Tami Kong | Student in an Organized Health Care Education/Training Program | 405 E Pine St, Stockton, CA 95204-5522 | 2018-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1083223317 | Simone A Stevens | Student in an Organized Health Care Education/Training Program | 2041 Grey Stone Dr, Stockton, CA 95206-4652 | 2020-07-22 |
| 1497381453 | Carrie Elaine Guidry | Student in an Organized Health Care Education/Training Program | 4415 N Pershing Ave Apt 4, Stockton, CA 95207-6955 | 2020-03-20 |
| 1740820786 | Brandon Jay Baccam | Student in an Organized Health Care Education/Training Program | 3302 Rutherford Dr, Stockton, CA 95212-3425 | 2020-01-07 |
| 1144886375 | Linda Voeuth Kong | Student in an Organized Health Care Education/Training Program | 3830 Alvarado Ave Apt 225, Stockton, CA 95204-2324 | 2019-05-13 |
| 1518439173 | Heidi Lee | Student in an Organized Health Care Education/Training Program | 3591 Quail Lakes Dr Apt 33, Stockton, CA 95207-5253 | 2018-12-20 |
| 1396220331 | Evangelina Dori Olson | Student in an Organized Health Care Education/Training Program | 1803 W March Ln Ste C&d, Stockton, CA 95207-6414 | 2018-09-25 |
| 1548741176 | Diep Phan | Student in an Organized Health Care Education/Training Program | 7720 Lorraine Ave Ste 102, Stockton, CA 95210-4203 | 2018-08-22 |
| 1457885279 | Angud Mehdi | Student in an Organized Health Care Education/Training Program | 6351 Saint Andrews Dr, Stockton, CA 95219-1861 | 2017-04-18 |
| 1477929453 | Manjot Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 5405 N Pershing Ave Ste C1, Stockton, CA 95207-5451 | 2015-08-13 |
| Find all providers in STOCKTON | ||||
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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.