MARYLYNN KOSULANDICH (NPI# 1952951568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952951568 |
| Entity Type | Individual |
| Full Name | MARYLYNN KOSULANDICH |
| Other Name | LYN KOSULANDICH |
| Practice Address |
638 3rd Ave Trinidad CA 95570-9742 |
| Practice Telephone | 7076770977 |
| Mailing Telephone | 7076770977 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
638 3RD AVE |
| City | TRINIDAD |
| State | CA |
| Zip Code | 95570-9742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689034183 | Suzanne Colby | Midwife | 4677 Valley East Blvd. Suite 2, Arcata, CA 95570 | 2016-02-26 |
| 1760782700 | Patty Ann Mcdonough | Registered Nurse | 51 Midway Drive, Space 44, Trinidad, CA 95570 | 2010-10-25 |
| 1356594923 | Jorge Erik Weibel | Radiology | 52 Okega Ln, Trinidad, CA 95570-9654 | 2008-10-28 |
| 1376819276 | Eric Towle Duff | Counselor | 524 Old Wagon Rd, Trinidad, CA 95570-9680 | 2012-03-26 |
| 1134517766 | Willliam Alexander Manning | Physical Therapy Assistant | 251 Westgate Dr, Trinidad, CA 95570-9707 | 2015-01-06 |
| 1356502355 | Curt Arnold Cooper | Family Medicine | 414 6th Ave, Trinidad, CA 95570-9725 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1013539113 | Poudre Valley Medical Group, LLC | Internal Medicine | 328 S Bonaventure Ave Ste 2, Trinidad, CO 81082-2086 | 2020-05-12 |
| 1295361798 | Rocky Mountain Eye Center, Inc., A Colorado Provider Network | Optometrist | 2116 Freedom Road, #40, Trinidad, CO 81082-1210 | 2020-03-16 |
| 1144850637 | Tammy Womack | Nurse Practitioner | 406 E Eaton St, Trinidad, TX 75163-7165 | 2020-01-23 |
| 1275035370 | Trinidad Autism Awareness | Community/Behavioral Health | 1309 Beshoar Ave, Trinidad, CO 81082-3751 | 2018-03-05 |
| 1649772153 | Tammi S Birch | Registered Nurse | 224 Morning Dove Rd, Trinidad, TX 75163-2103 | 2018-03-01 |
| 1699275842 | Darais Dental | Dentist | 2124 Freedom Rd, Trinidad, CO 81082-1210 | 2018-02-14 |
| 1386166304 | Kyle Luis Larsen | Dentist | 928 Smith Ave, Trinidad, CO 81082-2841 | 2017-07-11 |
| 1912427030 | Gwyndolyn Suzanne Snyder | Nurse Practitioner | 1112 Grant Ave, Trinidad, CO 81082 | 2017-06-20 |
| 1770021990 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 717 Adams, Trinidad, CO 81082-3613 | 2017-02-08 |
| Find all providers in TRINIDAD | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1700487691 | Hine Maumalanga | Technician | 1094 Folsom Ave, Hayward, CA 94544-5704 | 2020-11-05 |
| 1649871765 | Charles Leroy Appleberry II | Technician | 1100 S Chester Ave, Compton, CA 90221-4312 | 2020-11-04 |
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1083212476 | Christina Elisabeth Brunn | Technician | 2818 Huxley Pl, Fremont, CA 94555-1416 | 2020-10-16 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1730795543 | Corina Rochelle Burch | Technician | 3706 Calavo Dr, Spring Valley, CA 91977-1903 | 2020-09-17 |
| 1033724729 | Cinta Latrece Moore | Technician | 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 | 2020-09-10 |
| 1598379398 | Trina Diane Brown | Technician | 115 W Zane St, Long Beach, CA 90805-6327 | 2020-08-31 |
| 1437760766 | Jeri Lyn Allen-smith | Technician | 9228 Allano Way, Santee, CA 92071-2202 | 2020-08-11 |
| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.