DIERDRE A GILLIAM (NPI# 1205984010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205984010 |
| Entity Type | Individual |
| Full Name | DIERDRE A GILLIAM |
| Credential | MSN, RN, PHN |
| Practice Address |
137 N Cottonwood St Ste 2400 Woodland CA 95695 |
| Mailing Address |
8425 Fernando Way Elverta CA 95626-9542 |
| Practice Telephone | 5306668558 |
| Practice Fax Number | 5306667447 |
| Mailing Telephone | 9169915875 |
| Mailing Fax Number | 5306667447 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WA2000X |
Registered Nurse Specialization: Administrator |
607502 | CA | Nursing Service Providers |
| X | 163WC1500X |
Registered Nurse Specialization: Community Health |
607502 | CA | Nursing Service Providers |
| Street Address |
137 N COTTONWOOD ST STE 2400 |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461634 | Sandra Ellen Sigrist | Social Worker | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2006-08-30 |
| 1972118545 | Cynthia Renee Aleman | Registered Nurse | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-09-10 |
| 1376158949 | Mercy Apphia Mattsson-boze | Registered Nurse | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-09-10 |
| 1104445709 | Bertrams Ike Osajindu | Registered Nurse | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-04-13 |
| 1497389381 | Michael H Gilbert | Counselor | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-02-28 |
| 1629608054 | Ana Gabriela Polanco-topete | Case Manager/Care Coordinator | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-01-24 |
| 1013556141 | Rosalind Wambugu | Registered Nurse | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2020-01-06 |
| 1629613575 | Paul Bradford | Student in an Organized Health Care Education/Training Program | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2019-11-14 |
| 1114577335 | Brittani Ann Archer | Student in an Organized Health Care Education/Training Program | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2019-09-19 |
| 1902363047 | Lorena Hettinga | Counselor | 137 N Cottonwood St, Woodland, CA 95695-6646 | 2019-02-25 |
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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 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386793800 | Alida Shevelle Hrivnak | Registered Nurse | 137 N. Cottonwood St, Woodland, CA 95695 | 2007-01-10 |
| 1699847681 | Gina Othea Harrell | Registered Nurse | 825 East St, Suite 302, Woodland, CA 95776-4976 | 2006-11-14 |
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|---|---|---|---|---|
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| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
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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.