MELLANY ANN AQUINO (NPI# 1962048488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962048488 |
Entity Type | Individual |
Full Name | MELLANY ANN AQUINO |
Other Name | MELLANY GLINO |
Credential | PNP |
Practice Address |
3100 Summit St Oakland CA 94609-3412 |
Mailing Address |
290 Pacifica Dr Brentwood CA 94513-1394 |
Practice Telephone | 5104283885 |
Mailing Telephone | 6504551562 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95013266 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3100 SUMMIT ST |
City | OAKLAND |
State | CA |
Zip Code | 94609-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265404719 | Herbert Arthur Holman | Dermatology | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 | 2006-02-07 |
1699281501 | Sutter Bay Hospitals | Pharmacy | 3100 Summit St, Oakland, CA 94609-3412 | 2017-12-15 |
1518414879 | Tashi Schaaf | Registered Nurse | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2016-09-04 |
1467813683 | Elisabeth Anne Sherratt | Nurse Practitioner | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2016-03-16 |
1831577444 | Michelle Keh | Dietitian, Registered | 3100 Summit St, Office 5414, Oakland, CA 94609-3412 | 2015-05-14 |
1518355411 | Sophia Stewart | Registered Nurse | 3100 Summit St, Oakland, CA 94609-3412 | 2014-12-30 |
1194132837 | Jay Michael Hunter | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2014-07-15 |
1063833192 | Amelia Atalig-smith | Nurse Practitioner | 3100 Summit St, 2nd Floor, Suite 2549, Oakland, CA 94609-3412 | 2013-12-16 |
1225384415 | Raffi A Bashlian | Nurse Practitioner | 3100 Summit St, 2nd Floor, East Bay Aids Center (ebac), Oakland, CA 94609-3412 | 2012-07-25 |
1093031122 | Kim Seay | Dietitian, Registered | 3100 Summit St, Oakland, CA 94609-3412 | 2010-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1356687651 | Kristine Carter | Nurse Practitioner | 991 14th St Bldg H, Oakland, CA 94607-3230 | 2012-12-14 |
1497029144 | Megan Keating | Nurse Practitioner | 757 52nd St., Oakland, CA 94609 | 2012-02-28 |
1801079629 | Angelique Champeau Hinds | Nurse Practitioner | 744 52nd St Ste 4100, Oakland, CA 94609-1810 | 2007-12-14 |
1821621269 | Rita Bolous Mccowan | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2020-02-13 |
1366923138 | Jessica Olivero | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2018-08-28 |
1093220485 | Julia Alysse Reisman | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-12-06 |
1043724719 | Anna X Liang | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-11-16 |
1477091965 | Bianca Juarez | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-02-06 |
1003351560 | Shelley Anne Bull | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2016-12-19 |
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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.