ELIZABETH BARBARA WILLERUP (NPI# 1003801820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003801820 |
Entity Type | Individual |
Full Name | ELIZABETH BARBARA WILLERUP |
Credential | RNP |
Practice Address |
1643 Eureka Rd Roseville CA 95661-3027 |
Practice Telephone | 9167717627 |
Practice Fax Number | 9167717650 |
Mailing Telephone | 9167717627 |
Mailing Fax Number | 9167717650 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
318629 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1643 EUREKA RD |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427523232 | Pamela Claire Hegner | Social Worker | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2018-10-08 |
1003231283 | Wendy Lewis | Clinical Neuropsychologist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2014-02-25 |
1942510813 | Sherrilyn Robertson Westbrook | Psychologist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2010-10-13 |
1902127038 | Helena Hart-rathbun | Psychiatry & Neurology | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2010-06-11 |
1932435385 | Barbara Ruslana Lukianoff Odell | Social Worker | 1643 Eureka Rd, Roseville, CA 95661 | 2009-10-20 |
1619004587 | Daniele Wells | Social Worker | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2007-02-27 |
1295885564 | Dawn Levine | Clinical Neuropsychologist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-11 |
1396892170 | Robin Patricia Fennel | Social Worker | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-04 |
1831256197 | Amanda Roberts Mcclintock | Marriage & Family Therapist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-03 |
1083761290 | Katherine Kay Mchenry | Social Worker | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
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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 |
---|---|---|---|---|
1487283230 | Curt Andrew Espinoza | Nurse Practitioner | 2440 Professional Dr, Roseville, CA 95661-7773 | 2020-04-03 |
1285197350 | Kathleen Andrews | Nurse Practitioner | 508 Gibson Dr, Roseville, CA 95678-5794 | 2019-04-07 |
1255741971 | Carla H. Levin | Nurse Practitioner | 101 Cirby Hills Drive, Roseville, CA 95616 | 2014-05-02 |
1437346707 | Marla Mccall | Nurse Practitioner | 970 Reserve Dr, Suite 205, Roseville, CA 95678-1376 | 2007-10-01 |
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1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.