TRISTIN GRESHAM
NPI 1750063723
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since August 01, 2023
100 POPLAR AVE, MODESTO, CA 95354(209) 523-4573(209) 550-5866 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tristin Gresham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTIN GRESHAM (NPI 1750063723) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1750063723
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRISTIN GRESHAM
Location Address100 POPLAR AVEModesto, CA 95354-0510
Mailing Address100 Poplar AveModesto, CA 95354-0510 · (209) 523-4573 · Fax (209) 550-5866
Fax(209) 550-5866
Sole ProprietorNo
Enumeration DateAugust 1, 2023
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 20, 2023
✔ NPI 1750063723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
100 POPLAR AVE, Modesto, CA 95354

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
100 POPLAR AVE
MODESTO, CA 95354
Community/Behavioral Health
100 POPLAR AVE
MODESTO, CA 95354
Marriage & Family Therapist
100 POPLAR AVE
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
100 POPLAR AVE
MODESTO, CA 95354
Counselor (Mental Health)
100 POPLAR AVE
MODESTO, CA 95354
Community Health Worker
100 POPLAR AVE
MODESTO, CA 95354
Counselor (Mental Health)
100 POPLAR AVE
MODESTO, CA 95354
Case Manager/Care Coordinator
100 POPLAR AVE
MODESTO, CA 95354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristin Gresham's NPI number?

The NPI number for Tristin Gresham is 1750063723. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Tristin Gresham located?

Tristin Gresham practices at 100 Poplar Ave, Modesto, CA 95354. The listed phone number is (209) 523-4573.

What is Tristin Gresham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tristin Gresham was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.