LAURA MAZZA (NPI# 1154885515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154885515 |
Entity Type | Individual |
Full Name | LAURA MAZZA |
Credential | CRNP |
Practice Address |
632 W Gibson Rd Woodland CA 95695-5169 |
Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
Practice Telephone | 5304191219 |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-05-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95010965 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538599766 | Laura Mazza | Nurse Practitioner | 39 Sycamore Ave, Little Silver, NJ 07739-1208 | 2013-11-25 |
Street Address |
632 W GIBSON RD |
City | WOODLAND |
State | CA |
Zip Code | 95695-5169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780665166 | Kathryn A. Glatter | Internal Medicine | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2005-11-10 |
1871050542 | Nou Thao | Pharmacy Technician | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2019-02-28 |
1114426327 | Uyen Phuong Nguyen-sharma | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695 | 2018-02-03 |
1922519222 | Sarah Leslie Thrasher | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-10-13 |
1760916274 | Melody W Steeples | Dietitian, Registered | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-04-12 |
1184160301 | Aleksandr Palenyy | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-01-11 |
1770039828 | Kristen J Rewick | Registered Nurse | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2016-08-29 |
1023480159 | Isaac Dominguez | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2015-10-28 |
1174928253 | Lonna Marie Hampton | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-10-30 |
1053727008 | Alicia Kay Florez | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2014-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780956003 | Ana Michelle Gudino | Nurse Practitioner | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2012-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
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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.