BERNADETTE MARIE CONNOLLY (NPI# 1033425889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033425889 |
| Entity Type | Individual |
| Full Name | BERNADETTE MARIE CONNOLLY |
| Credential | PA-C |
| Practice Address |
111 Raley Blvd Suite 140 Chico CA 95928-8351 |
| Practice Telephone | 5303425776 |
| Practice Fax Number | 5308980178 |
| Mailing Telephone | 5303425776 |
| Mailing Fax Number | 5308980178 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15067 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 RALEY BLVD SUITE 140 |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839923 | Stephen F Pearce | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2005-08-30 |
| 1811360571 | Krista Rivero | Registered Nurse | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2015-11-03 |
| 1932583622 | Feather River Hospital | Durable Medical Equipment & Medical Supplies | 111 Raley Blvd, Suite 200, Chico, CA 95928-8351 | 2015-07-13 |
| 1518344175 | Suk Young Ahn Dds Inc | Dentist | 111 Raley Blvd, Suite 260, Chico, CA 95928-8351 | 2015-05-04 |
| 1710317912 | Tanya Nolan | Midwife | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2013-11-25 |
| 1801226162 | Enloe Medical Center | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2013-11-22 |
| 1629341060 | David J Gajda Md A Professional Corporation | Eyewear Supplier (Equipment, not the service) | 111 Raley Blvd, # 240, Chico, CA 95928-8351 | 2012-02-15 |
| 1023325347 | Chico Orthopaedic Surgery and Sports Medical Associates | Orthopaedic Surgery | 111 Raley Blvd, Suite 160, Chico, CA 95928-8351 | 2010-09-08 |
| 1982876785 | Hoan Van Tran | Internal Medicine | 111 Raley Blvd, Chico, CA 95928-8351 | 2008-04-01 |
| 1265637227 | Peter J. Bangsund | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093831117 | Carlos A Cuellar | Physician Assistant | Student Health Services Csu Chico, Chico, CA 95929-0001 | 2007-03-21 |
| 1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
| 1285679779 | Leon Denson Royston Jr. | Physician Assistant | 2012 Franklin St, Chico, CA 95928-6727 | 2006-06-18 |
| 1831180785 | Mary Katherine Hopson | Physician Assistant | 100 Independence Circle, Argyll Medical Group, Chico, CA 95973-0258 | 2005-10-31 |
| 1811431455 | Shirley Huffman | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2016-12-16 |
| 1275910622 | Aaron David Farmer | Physician Assistant | 845 W East Ave, Chico, CA 95926-2002 | 2015-05-05 |
| 1922419860 | Northstate Cardiology Consultants | Physician Assistant | 198 Cohasset Rd, Chico, CA 95926-2202 | 2014-05-14 |
| 1164785093 | David Vincent Robbins II | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2012-06-15 |
| 1821300534 | Stuart E Mishelof | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2010-07-10 |
| 1336378744 | Rebecca J Colby | Physician Assistant | 198 Cohasset Rd, Chico, CA 95926-2202 | 2009-07-07 |
| Find all providers in CHICO | ||||
Please comment or provide details below to improve the information on BERNADETTE MARIE CONNOLLY.
| 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.