Active NPI
Christiana Rose Couillard
- Social Worker
- French Camp, CA
National Provider Identifier
1073296612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 500 W Hospital Rd
French Camp, CA 95231-9693 - Phone
- (209) 953-6400
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
500 W Hospital Rd
French Camp, CA 95231-9693
Mailing address
10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1073296612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 TRINITY PKWY STE 100",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W HOSPITAL RD",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952319693",
"telephone_number": "209-953-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUILLARD",
"first_name": "CHRISTIANA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in French Camp, CA
- Jeanette Clay
- Donna Marie Colbert
- Irene Olivia Contreras, LVN
- Ronald J. Corbin, CRNA
- Lyanne Cosner, N.P.
- County of San Joaquin (San Joaquin General Hospital Radiology)
- County of San Joaquin (Correctional Healthcare Services)
- County of San Joaquin (San Joaquin County Probation Department)
- County of San Joaquin (San Joaquin General Hospital)
- County of San Joaquin (San Joaquin County Clinics Mobile Location 1)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.