JESSICA SICKLER SCHMIDT (NPI# 1205181005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205181005 |
Entity Type | Individual |
Full Name | JESSICA SICKLER SCHMIDT |
Credential | PMHNP |
Practice Address |
480 Tesconi Cir Ste B Santa Rosa CA 95401-4691 |
Practice Telephone | 7072067268 |
Mailing Telephone | 7072067268 |
Enumeration Date | 2012-07-17 |
Last Update Date | 2020-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
805170 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95015086 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
20 N San Pedro Rd Ste 2021, San Rafael, CA 94903 | 4154736793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023630746 | Jessica Schmidt | Nurse's Aide | 409 E 22nd St, Hays, KS 67601-2812 | 2020-05-15 |
1487100343 | Jessica Schmidt | Counselor | 1900 Silver Lake Road, Suite, Nystrom & Associates, Ltd., New Brighton, MN 55112-9998 | 2016-08-31 |
1184874521 | Jessica Schmidt | Registered Nurse | 22 Lakecrest Dr, Warwick, RI 02889-2235 | 2008-09-23 |
1437307303 | Jessica R Schmidt | Speech-Language Pathologist | 15245 Shady Grove Rd Ste 110, Rockville, MD 20850-7202 | 2008-09-04 |
1073029740 | Jessica Danielle Schmidt | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2017-12-18 |
1710403035 | Jessica Schmidt | Nurse Practitioner | 3600 Houma Blvd, Metairie, LA 70006-4230 | 2017-08-17 |
1063960128 | Jessica Schmidt | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-09-19 |
1477909885 | Jessica Schmidt | Specialist/Technologist | 1186 Appleton Rd, Menasha, WI 54952-1906 | 2016-05-05 |
1336517762 | Jessica Schmidt | Audiologist | 707 Bryant St, Statesville, NC 28677-4142 | 2015-09-02 |
1629324116 | Jessica Lyn Schmidt | Counselor | 812 Commercial St, Grinnell, IA 50112-2143 | 2012-08-02 |
Street Address |
480 TESCONI CIR STE B |
City | SANTA ROSA |
State | CA |
Zip Code | 95401-4691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164615589 | Anish Sunderrajan Shah | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2007-08-20 |
1548723422 | Sunny Bush | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2019-04-09 |
1265918502 | Marina Atilano | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2018-07-18 |
1174011928 | Tiffany Figuero | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2018-04-27 |
1689037285 | Bryan Gaddy | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2016-03-31 |
1467826552 | Michelle Knosp | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2015-11-30 |
1801224092 | Prital Desai | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401 | 2013-10-24 |
1619301579 | Naga Kothapalli | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2013-08-28 |
1568732972 | Siyan Clinical Corporation | Psychiatry & Neurology | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2012-01-03 |
1467741397 | Barbara G Ferrell | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401 | 2011-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
Find all providers in zip 95401 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801224043 | Katherine Whitley | Nurse Practitioner | 1260 N Dutton Ave, #275, Santa Rosa, CA 95401-4659 | 2013-10-25 |
1316236656 | Lisa Nadyne Molinaro | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2011-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 95401 |
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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.