MRS. CAROL ANNE HERRLIE (NPI# 1073838900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073838900 |
| Entity Type | Individual |
| Full Name | MRS. CAROL ANNE HERRLIE |
| Credential | RN, FNP |
| Practice Address |
5253 Bucks Bar Rd Placerville CA 95667-7869 |
| Practice Telephone | 5306229124 |
| Practice Fax Number | 5306260677 |
| Mailing Telephone | 5306229124 |
| Mailing Fax Number | 5306260677 |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN255133 FUNISNP | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PROVIDER NUMBER: ZZZ36132Z | : ZZZ36132Z | 01 |
| Street Address |
5253 BUCKS BAR RD |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-7869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649548686 | Karen Alexandra Greenhaw | Clinical Nurse Specialist | 1095 Marshall Way Ste 100, Placerville, CA 95667-5722 | 2011-12-06 |
| 1740479492 | Thomas M Seivert | Clinical Nurse Specialist | 4327 Golden Center Dr, Placerville, CA 95667-6260 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599283 | Anudeep Bawa | Clinical Nurse Specialist | 11180 Warner Ave Ste 165, Heart Center of Orange County, Fountain Valley, CA 92708-7515 | 2016-10-16 |
| 1720536840 | Arezou Crose | Clinical Nurse Specialist | 3978 Silver Lace Ln, Redding, CA 96001-6303 | 2016-09-19 |
| 1104286459 | Yesol Hong | Clinical Nurse Specialist | 17822 Beach Blvd Ste 473, Huntington Beach, CA 92647-7520 | 2016-02-29 |
| 1982074159 | Tracey Schaper | Clinical Nurse Specialist | 297 Mission Grove Pkwy N, Riverside, CA 92506-6246 | 2015-10-01 |
| 1205216025 | Ramona Waldman | Clinical Nurse Specialist | 28000 Poppy Dr, Willits, CA 95490-9068 | 2015-06-06 |
| 1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
| 1700282654 | Osher Resources Inc | Clinical Nurse Specialist | 419 E Cypress Ave, Unit C, Burbank, CA 91501-3253 | 2014-11-05 |
| 1285058727 | Dominic Legaspi Pisigan | Clinical Nurse Specialist | 565 Charmingdale Rd, Diamond Bar, CA 91765-2131 | 2014-02-04 |
| 1700207388 | Luis Servano Teoxon | Clinical Nurse Specialist | 11750 Sterling Ave Ste C, Riverside, CA 92503 | 2013-12-26 |
| 1326307885 | Holly Marie Filter | Clinical Nurse Specialist | 330 H St Ste A, Marysville, CA 95901-5820 | 2012-05-03 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on MRS. CAROL ANNE HERRLIE.
| 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.