MICHAEL NORBERT NYSTROM


Address: 1860 Walnut St, Red Bluff, CA 96080-3611
Phone: 5305275637

MICHAEL NORBERT NYSTROM (NPI# 1992976757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992976757
Entity Type Individual
Full Name MICHAEL NORBERT NYSTROM
Practice Address 1860 Walnut St
Red Bluff
CA 96080-3611
Mailing Address Po Box 400
Red Bluff
CA 96080-0400
Practice Telephone 5305275637
Mailing Telephone 5305275637
Enumeration Date 2008-03-19
Last Update Date 2008-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers MICHAEL NYSTROM

NPI Name Taxonomy Address Enumeration
1316274871 Michael John Nystrom Pathology 2338 21st Ave, San Francisco, CA 94116-2430 2009-11-04

Office Location

Street Address 1860 WALNUT ST
City RED BLUFF
State CA
Zip Code 96080-3611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245253475 Jenna Quinn Marriage & Family Therapist 1860 Walnut St, Red Bluff, CA 96080-3611 2006-07-26
1902414923 Nathan Watson Licensed Vocational Nurse 1860 Walnut St, Red Bluff, CA 96080-3611 2020-07-15
1285272781 Lorenna Leon Community Based Residential Treatment Facility, Mental Illness 1860 Walnut St, Red Bluff, CA 96080-3611 2019-12-15
1588223036 Amber L Wilson Counselor 1860 Walnut St, Red Bluff, CA 96080-3611 2019-06-09
1003378381 Rachael Waltz Nurse's Aide 1860 Walnut St, Red Bluff, CA 96080-3611 2019-04-04
1790253987 Desiree De Palma Home Health Aide 1860 Walnut St, Red Bluff, CA 96080-3611 2018-11-06
1548736879 Megan Sundblad Licensed Psychiatric Technician 1860 Walnut St, Red Bluff, CA 96080-3611 2018-10-14
1144795311 Noemi Avila-reyes Case Manager/Care Coordinator 1860 Walnut St, Red Bluff, CA 96080-3611 2018-10-03
1194202366 Morgan Vazquez Marriage & Family Therapist 1860 Walnut St, Red Bluff, CA 96080 2018-07-20
1760996870 Amanda Mackenzie Swanson Case Manager/Care Coordinator 1860 Walnut St, Red Bluff, CA 96080-3611 2017-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578912408 Gillian Lilo Prothro Registered Nurse 1425 Montgomery St., Red Bluff, CA 96080 2016-06-10
1154739373 Gisela Vazquez Sandoval Counselor 818 Walnut St, Red Bluff, CA 96080 2014-07-31
1215348883 Courtney Cathleen Coenen Non-emergency Medical Transport (VAN) 320 Michael Drive, Red Bluff, CA 96080 2014-05-16
1023451986 Nhuha Thi Le Registered Nurse 1860 B Walnut St, Red Bluff, CA 96080 2013-04-10
1184991580 Maria Arendina Los Registered Nurse 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 2011-11-30
1558682195 Metasebia Bekele Physician Assistant 1850 Walnut Street, Red Bluff, CA 96080 2010-06-17
1821314238 Cynthia Louise Funderburk Nurse's Aide 1860 B Walnut Street, Red Bluff, CA 96080 2010-04-09
1285865485 Phillip John Velador Jr. Licensed Vocational Nurse 1860b Walnut Street, Red Bluff, CA 96080 2009-08-05
1609010347 Lori Kay Mccaughey Registered Nurse 1860b Walnut St, Red Bluff, CA 96080 2009-04-24
1467668616 Tehama County Health Services Agency - Mental Health Division Clinic/Center 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 2007-05-15
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952536039 Susan J Danis Technician 1860 Walnut St, Red Bluff, CA 96080-3611 2009-05-19
1386879583 Phoebe Gail Mcgill Technician 1860 Walnut St, Red Bluff, CA 96080-3611 2009-05-18
1104097005 Roxanna Lee Ryant Technician 1860 Walnut St, Red Bluff, CA 96080-3611 2008-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City RED BLUFF
Zip Code 96080

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Dataset Information

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.

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