KATHLEEN MARIE LUCILLE GILLIGAN (NPI# 1962834150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962834150 |
Entity Type | Individual |
Full Name | KATHLEEN MARIE LUCILLE GILLIGAN |
Credential | RN, NP |
Practice Address |
1814 Franklin St Suite 400 Oakland CA 94612-3487 |
Mailing Address |
32 Chilton Ave San Carlos CA 94070-1605 |
Practice Telephone | 5103186100 |
Mailing Telephone | 4158467259 |
Enumeration Date | 2013-07-30 |
Last Update Date | 2015-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 779951 | CA | Nursing Service Providers |
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
2271065 | MA | Nursing Service Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2271065 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95002173 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405418 | Kathleen H Gilligan | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5310 | 2020-10-26 |
Street Address |
1814 FRANKLIN ST SUITE 400 |
City | OAKLAND |
State | CA |
Zip Code | 94612-3487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962460691 | Novacare Rehabilitation | Residential Treatment Facility, Physical Disabilities | 1814 Franklin St, Suite 905, Oakland, CA 94612-3426 | 2006-05-02 |
1811436967 | Akinwunmi Kolade Makinde | Physical Therapist | 1814 Franklin St, Suite 905, Oakland, CA 94612-3487 | 2017-02-21 |
1649645631 | Neami Andemariam | Counselor | 1814 Franklin St, 400, Oakland, CA 94612-3487 | 2015-12-02 |
1427452598 | Courtney Mcmullin | Counselor | 1814 Franklin St, 4th Floor, Oakland, CA 94612-3487 | 2014-10-17 |
1174953566 | Camice Jeanette Revier | Behavioral Analyst | 1814 Franklin St, Suite 400, Oakland, CA 94612-3487 | 2013-11-21 |
1366877201 | Emily Harris | Counselor | 1814 Franklin St, 4th Floor, Oakland, CA 94612-3487 | 2013-09-11 |
1083954531 | Prep | Counselor | 1814 Franklin St, 400, Oakland, CA 94612-3487 | 2013-02-20 |
1568712578 | Kortnei Artisha Taylor-glass | Counselor | 1814 Franklin St, 400, Oakland, CA 94612-3487 | 2012-09-17 |
1558616805 | Eric A Gremillion | Counselor | 1814 Franklin St, 4th Floor, Oakland, CA 94612-3487 | 2012-07-23 |
1023381449 | Randy Joseph | Specialist | 1814 Franklin St, Suite 400, Oakland, CA 94612-3487 | 2012-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
Find all providers in zip 94612 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801493887 | Chidozie Ephrem Ibe | Nurse Practitioner | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-10-02 |
1396203253 | Don Ellis Phillips Sr. | Nurse Practitioner | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-03-08 |
1225501109 | Elijah Sangku-daniel Kim | Nurse Practitioner | 3800 Coolidge Ave, Oakland, CA 94602 | 2019-01-03 |
1487043758 | Marshall L Gold | Nurse Practitioner | 286 Santa Clara Ave, Oakland, CA 94610-2624 | 2015-01-09 |
1326449778 | Barbara Freiheit | Nurse Practitioner | 405 14th St, Oakland, CA 94612-2715 | 2014-09-04 |
1639578487 | Mona Kim | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2014-08-18 |
1386919850 | Chelsea Landolin | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2012-03-16 |
1558678862 | Haydee Ortiz | Nurse Practitioner | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2010-09-08 |
1902033095 | Margaret Grady | Nurse Practitioner | 9 Post Rd Ste M2, Oakland, NJ 07436-1619 | 2009-06-16 |
1073664231 | Mary Philomena Kastner | Nurse Practitioner | 525 21st St, Oakland, CA 94612-1605 | 2007-01-15 |
Find all providers in OAKLAND |
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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.