DAESHA ROLEWICZ (NPI# 1194179283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194179283 |
| Entity Type | Individual |
| Full Name | DAESHA ROLEWICZ |
| Practice Address |
2250 Soquel Ave Ste 100 Santa Cruz CA 95062-1402 |
| Practice Telephone | 8316002800 |
| Mailing Telephone | 8316002800 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95084057 | CA | Nursing Service Providers |
| Street Address |
2250 SOQUEL AVE STE 100 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982035374 | Michael Terranova | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2013-12-10 |
| 1326589243 | Tet Liew | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2017-03-10 |
| 1063959658 | Lisa Alvarez | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2017-01-20 |
| 1912443250 | Mark Cleary | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2017-01-10 |
| 1518402866 | Jihye Noh | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-12-22 |
| 1003358904 | Shaorn Liu | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-11-08 |
| 1689120172 | Travis Harris | Counselor | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-08-25 |
| 1245785575 | Forrest Gleitsman | Counselor | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-08-16 |
| 1104370618 | Jose Picazo | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-08-12 |
| 1962956763 | Evangeline Fogam | Licensed Vocational Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820689 | Jessica Lee | Registered Nurse | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2019-09-11 |
| 1336620434 | Chelsea Marie Smith | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2018-08-27 |
| 1932687837 | Diana Suazo | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2018-08-02 |
| 1699264895 | Karen Richards | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2018-05-03 |
| 1205323607 | Andrew Robert Hultgren | Registered Nurse | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2018-04-20 |
| 1619478849 | Lan Chen Bullock | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2018-02-22 |
| 1154835221 | Tiffiny Erin Newport | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2017-11-27 |
| 1992228019 | Todd Cathey | Registered Nurse | 2250 Soquel Ave Ste 150, Santa Cruz, CA 95062-1402 | 2017-07-20 |
| 1235660895 | Christopher Wawrzyniak | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2017-03-24 |
| 1326589243 | Tet Liew | Registered Nurse | 2250 Soquel Ave Ste 100, Santa Cruz, CA 95062-1402 | 2017-03-10 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
Please comment or provide details below to improve the information on DAESHA ROLEWICZ.
| 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.