JACQUELYN NOEL SARTORIUS (NPI# 1134558000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134558000 |
| Entity Type | Individual |
| Full Name | JACQUELYN NOEL SARTORIUS |
| Other Name | JACQUELYN NOEL HARRIS |
| Credential | PA-C |
| Practice Address |
2201 South Ave South Lake Tahoe CA 96150-7025 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305435623 |
| Practice Fax Number | 5305415738 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA52669 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2201 SOUTH AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984075 | Jennifer Ann Ehmann | Pediatrics | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2005-07-01 |
| 1477022358 | Drew N Herbert | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2018-11-20 |
| 1417442419 | Sierra C Armstrong | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2018-06-22 |
| 1902327992 | Laura Stevens | Social Worker | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2017-06-29 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| 1497202121 | Andrea Marie Baldwin | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-09-11 |
| 1699187849 | Tessa Dahlen Amos | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2014-05-22 |
| 1548607955 | Brooke M Pancio | Family Medicine | 2201 South Ave, South Lake Tahoe, CA 96150 | 2013-05-24 |
| 1063856094 | Danielle Marie Priem | Pediatrics | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-04-22 |
| 1558600122 | Elke Anne Houser | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770911620 | Lydia B O'bannon | Physician Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2013-10-30 |
| 1740589472 | Brett Erica Sibley | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2011-03-21 |
| 1821393166 | Sharon Lynn Brodbelt | Physician Assistant | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2011-01-18 |
| 1205145703 | Jessica Marie Starr | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2010-09-30 |
| 1679716914 | Kyle Erkkila | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2009-04-16 |
| 1801042668 | Lisa Marie Roberge | Physician Assistant | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2008-08-13 |
| 1609933910 | Eve-marie Welch | Physician Assistant | 2201 South Ave, Ste B, South Lake Tahoe, CA 96150-7025 | 2007-01-03 |
| 1194709824 | Catherine Gaehwiler | Physician Assistant | 2201 South Ave, Ste B, South Lake Tahoe, CA 96150-7025 | 2005-12-06 |
| 1093706558 | Cory T Hall | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2005-11-03 |
| 1235129289 | Todd William Degiovanni | Physician Assistant | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2005-10-21 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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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.