No Nama NIP Pangkat

1 2
1 MUFID.AS,S.Kep
2 dr.YUNITA PUTRI
3 FERI WINDOKO, S.Kep
4 VERA DWI ARYANI, A.Md.Keb
5 SRI UTAMI, SKM
6 MEDIAS IMRONI, SKM, M.Kes
7 SANTI PRADESI, S.ST
8 ANIDARWATI, S.Kep
9 HANUM SURYANI, S.Kep
10 SOPIAN HADI, S.Kep
11 RISA APRILIA, S.ST
12 EKA LISTRIYENI, SKM
13 WIDIA ARISTIANA, A.Md.Keb
14 ELIN NOVARINA, A.Md.Kep
15 ASNA RANI, A.Md.KG
16 PUSPITASARI, S.Kep
17 FARIDA NOPIYANI, SKM
18 DARMANSYAH, A.Md.KG
19 ADE DANIAR, A.Md.Keb
20 MARGIE DIANA PUTRI, A.Md. Keb 19900316201012002
21 LENI LINDAWATI,A.Md.Keb
22 YESSY INNAYA SARI, A.MF
23 SUATI ARISTA, AMd.Kep
24 MELI KURNIASIH, Amd.Keb
25 FITRI YANTI, A.Md.Kep
26 HENI PUSPITASARI, A.Md.Kep
27 TINA MARTINAWATI
28 RORITA NABABAN, A.Md.Keb
29 SRI HARYUNI, A.Md.Keb
3 4
197512281999031002 Penata Tk.1
198306292011012004 Penata Tk.1
198102152003121002 Penata Tk.1
197911132003122002 Penata
198403032006042011 Penata
198705112010012012 Penata
198612222009022002 Penata
197611082010012004 Penata
198302022008042003 Penata
197807042009021003 Penata
198604282009022007 Penata
197801172006042017 Penata Muda Tk.1
198603222008042001 Penata Muda Tk.1
198411112009022005 Penata Muda Tk.1
198305132009022006 Penata Muda Tk.1
198709192011012004 Penata Muda Tk.1
197811062010012006 Penata Muda Tk.1
198606202010011014 Penata Muda Tk.1
198712152011012005 Penata Muda
Penata Muda
198402252011012002 Penata Muda
198601112011012004 Penata Muda
198605282011012010 Penata Muda
198912192011012006 Penata Muda
198203082014072001 Pengatur Tk.1
197909172014072004 Pengatur Tk.1
197410302009022001 Pengatur
198506272017042002 Pengatur
198504042017042003 Pengatur
30 FRISKA YURIKA SARI, A.Md.Keb 198806042017042002 Pengatur
31 VINA ROZALIA, A.Md.Keb 198905302017042002 Pengatur
32 LENNY PUSPITA. A, A.Md.Keb 198907122017042002 Pengatur
33 PUSPITA SARI, A.Md.Keb 199203102017042001 Pengatur
34 APRILIA DIAH PITALOKA
35 NADIA ULFAH, A.Md.Kep
36 ANITA WATI, A.Md.Kep
37 SITI SRI LESTARI, A.Md.Kep
38 ELIT SOLIKAH, A.Md.Keb
39 IDA AYU SRI PARWATI, A.Md.Keb
40 TINA SARI, A.Md. Kep
41 SRI WAHYUNI, A.Md. Keb
42 MARLINA ARNEL, Amd. Keb
43 EPI JANITA, A.Md. Keb
44 ROSDIANA, A.Md Keb
45 PRALINASARI, Amd.Keb
46 MITA PEBRIYANI, Amd.Keb
47 BETHA APRIYANTI , Amd.Keb
48 TITIN SOLEHA, Amd.Keb
49 IIS SUSANTI, Amd.Keb
50 DWI ASTRIANI, Amd.Keb
51 RIRIS OCTAVIA, Amd.Keb
52 DESMA PUTRI ANA, Amd.Keb
53 NYIMAS FIRDA ANDRAYANI, Amd.Keb
54 RAMONA TRIASTI, Amd.Keb
55 RIA DESRIYANI, Amd.Keb
56 INDAH APRILIA PUTRI, SKM
57 OKTI AGU LIU, Amd. GZ
 Daftar Surat Tanda Register dan Surat Izin Praktik Tenaga Kesehatan
UPT Puskesmas Negeri Baru Tahun 2019

Gol Jabatan Unit Kerja

5 6 7
III.d Perawat Muda UPT Puskesmas Neger Baru
III.d Dokter Muda UPT Puskesmas Neger Baru
III.d Perawat Penyelia UPT Puskesmas Neger Baru
III.c Bidan Penyelia UPT Puskesmas Neger Baru
III.c Perawat Penyelia UPT Puskesmas Neger Baru
III.c Pelaksana UPT Puskesmas Neger Baru
III.c Bidan Ahli UPT Puskesmas Neger Baru
III.c Perawat Penyelia UPT Puskesmas Neger Baru
III.c Perawat Penyelia UPT Puskesmas Neger Baru
III.c Perawat Penyelia UPT Puskesmas Neger Baru
III.c Bidan Ahli UPT Puskesmas Neger Baru
III.b Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
III.b Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
III.b Perawat pelaksana lanjutan UPT Puskesmas Neger Baru
III.b perawat gigi pelaksana lanjutUPT Puskesmas Neger Baru
III.b Perawat pelaksana lanjutan UPT Puskesmas Neger Baru
III.b Pelaksana UPT Puskesmas Neger Baru
III.b perawat gigi pelaksana lanjutUPT Puskesmas Neger Baru
III.a Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
III.a Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
III.a Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
III.a Asisten Apoteker Pelaksana lUPT Puskesmas Neger Baru
III.a Perawat pelaksana lanjutan UPT Puskesmas Neger Baru
III.a Bidan Pelaksana Lanjutan UPT Puskesmas Neger Baru
II.d Perawat Pelaksana UPT Puskesmas Neger Baru
II.d Perawat Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
II.c Bidan Pelaksana UPT Puskesmas Neger Baru
Dokter Umum UPT Puskesmas Neger Baru
Perawat UPT Puskesmas Neger Baru
Perawat UPT Puskesmas Neger Baru
Perawat UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Perawat UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Bidan UPT Puskesmas Neger Baru
Kesmas UPT Puskesmas Neger Baru
Gizi UPT Puskesmas Neger Baru
dan Surat Izin Praktik Tenaga Kesehatan
as Negeri Baru Tahun 2019

Sertifikat Kompetensi Surat Tanda Register

Tanggal
Sertifikat Tanggal Masa
No Sertifikat Kompetensi No STR
Kompetens STR Berlaku STR
i
8 9 10 11 12
1001511172128282 9/22/2017 12/28/2020
66/KDI/SK/UK.5/XI/2015 11/2/2015 3421100115169232 11/26/2015 11/26/2020
1001511172128206 9/22/2017 2/15/2022
1002521150888548 1/28/2015 11/13/2020
1001521161112022 2/29/2016 3/3/2021
1021621161111728 2/29/2016 5/11/2021
1002521150888546 1/28/2015 12/22/2020
1001521172128208 9/22/2017 11/8/2022
100152117212822 9/22/2017 2/2/2022
1001211120577127 Proses
100252115-0888547 1/28/2015 4/28/2020
1002522193043269 6/17/2019 1/17/2020
1002521150888549 1/28/2015 3/22/2020
'1001522172128153 9/22/2017 11/11/2022
1004521150889263 1/28/2015 5/13/2020
1001522181585098 10/17/2018 9/19/2023
890/0102.F/MTKP/V.02.1/VII/2019 1/5/2020
1004511150889268 1/28/2015 6/20/2020
1002521120162265 Proses
1002521150888583 11/12/2015 3/16/2020
1002521150888725 1/28/2015 2/25/2020
19860111/STRTTK-06/200 2/23/2016 1/11/2021
1001521161112015 2/29/2016 5/28/2021
1002521150888586 1/28/2015 12/19/2020
1001522172128185 9/22/2017 3/8/2022
1001522172128184 9/22/2017 9/17/2022
100232115-0888550 1/28/2015 10/30/2020
1002521150888551 1/28/2015 6/27/2020
1002521150888552 1/28/2015 4/4/2020
 1002521150888554 1/28/2015 6/4/2020
1002521150888557 1/28/2015 5/30/2020
1002521150888558 1/28/2015 6/12/2020
1002521140725611 Proses
182110011-4156423 10/29/2014 10/29/2019
1001521172128233 9/22/2017 1/24/2022
1001522172128165 9/22/2017 7/17/2022
1001521172128217 9/22/2017 3/9/2022
100252115-0888559 1/28/2015 11/4/2020
100252115-1030229 9/4/2015 4/15/2020
1001521172128216 9/22/2017 4/15/2022
1002521150985732 6/1/2015 8/15/2020
0802521140817032 9/30/2014 5/3/2019
1002522171332969 5/24/2017 1/1/2022
1002521120571512 Proses
1302521151045630 10/8/2015 12/3/2020
100252117-2128328 9/22/2017 2/18/2022
120252117-2038344 2/14/2017 4/25/2022
0240891540120160103 12/2/2016 100252117-2066042 8/2/2017 4/6/2022
1002521151033454 9/22/2015 10/27/2020
100252115-0888506 1/28/2015 9/28/2020
120252116-1145622 3/31/2016 9/17/2021
0230571540120160144 5/11/2017 0802521172098692 12/19/2017 12/24/2022
0802521150984981 6/1/2015 11/30/2020
1002521182286120 4/6/2018 1/31/2023
1002521182286041 4/6/2018 12/17/2023
1021621161171307 5/18/2016 4/1/2021
0909521181577325 9/29/2018 10/27/2023
 Surat Izin Praktik

Tanggal Masa
No. SIP
SIP Belaku SIP

13 14 15
proses
446/076/SIP-DU/III.03-WK/XII/2015 12/28/2015 11/26/2020
proses
446/040/SIKB/III.03-WK/IX/2015 9/18/2015 11/13/2020
446/067/SIKP/IV.02-WK/X/2017 10/3/2017 3/3/2021

446/033/SIKB/III.03-WK/IX/2015 9/18/2015 12/22/2020

proses
446-3/00020/01/DPMTSP.53/VIII.2019 8/14/2019 2/2/2022

446/041/SIKB/III.03-WK/IX/2015 9/18/2015 4/28/2020

446/034/SIKB/III.03-WK/IX/2015 9/18/2015 3/22/2020

proses
446/005/SIKPG/III.03-WK/VI/2016 6/15/2016 5/13/2020
proses

446/004/SIKPG/III.03-WK/VI/2016 6/15/2016 6/20/2020

446/0174/SIKB/III.03-WK/XII/2015 12/28/2015 3/16/2020

446/035/SIKB/III.03-WK/IX/2015 9/18/2015 2/25/2020
19860111/SIKTTK-18.07/2015/2006 9/9/2015 1/11/2020
446/019/SIKP/III.03-WK/X/2015 10/19/2015 5/28/2020
446/037/SIKB/III.03-WK/II/2016 2/26/2016 12/19/2020
446.3/00021/01/DPMPTSP/53/VIII.2019 8/14/2019 3/8/2022
proses
446/0131/SIKB/III.03-WK/XI/2015 11/2/2015 10/30/2020
446/038/SIKB/III.03-WK/IX/2015 9/18/2015 6/27/2020
446/036/SIKB/III.03-WK/IX/2015 9/18/2015 4/4/2020
446/037/SIKB/III.03-WK/IX/2015 9/18/2015 6/4/2020
446/09/SIKB/III.03-WK/IX/2015 9/18/2015 5/30/2020
446/042/SIKB/III.03-WK/IX/2015 9/18/2015 6/12/2020

446/006/SIP.DU/III.03.WK/II/2016 2/5/2016 10/29/2019

proses
446.3/00018/01/DPMTSP.53/VIII.2019 8/14/2019 7/17/2022
proses
446/044/SIPB/IV.02-WK/IV/2018 4/16/2018 11/4/2020
446/183/SIPB/IV.02-WK/XI/2017 11/24/2017 4/15/2020
proses
446/182/SIPB/IV.02-WK/XI/2017 11/24/2017 8/15/2020
446/188/SIPB/IV.02-WK/XI/2017 11/24/2017 5/3/2019
446/185/SIPB/IV.02-WK/XI/2017 11/24/2017 1/1/2020

446/184/SIPB/IV.02-WK/XI/2017 11/24/2017 12/3/2020

446/047/SIPB/IV.02-WK/IV/2018 4/16/2018 2/18/2022
proses
446/045/SIPB/IV.02-WK/IV/2018 4/16/2018 4/6/2022
446/187/SIPB/IV.02-WK/XI/2017 11/24/2017 10/27/2020
446/043/SIPB/IV.02-WK/IV/2018 4/16/2018 9/28/2020
446/046/SIPB/IV.02-WK/IV/2018 4/16/2018 9/17/2021
446/048/SIPB/IV.02-WK/IV/2018 4/16/2018 12/24/2022
446/190/SIPB/IV.02-WK/XI/2017 11/24/2017 9/30/2020
446/097/SIPB/IV.02-WK/VII/2018 7/3/2018 1/31/2023
446/096/SIPB/IV.02-WK/VII/2018 7/3/2018 12/17/2023
proses
proses