ALICE E BRAYSHAW (NPI# 1215007661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215007661 |
| Entity Type | Individual |
| Full Name | ALICE E BRAYSHAW |
| Credential | PA-C |
| Practice Address |
1255 Liberty Street Redding CA 96001-0814 |
| Mailing Address |
Po Box 991950 Redding CA 96099-1950 |
| Practice Telephone | 5302462467 |
| Practice Fax Number | 5302429460 |
| Mailing Telephone | 5302462467 |
| Mailing Fax Number | 5302429460 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA18032 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID | 680310525 | 01 |
| CA | GR0079250 | 05 | |
| CA | PA LICENSE NUMBER | PA18032 | 01 |
| Street Address |
1255 LIBERTY STREET |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265401541 | Jack David Schillen | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-03-17 |
| 1871784678 | Tony Li-wei Chang | Family Medicine | 1255 Liberty Street, Redding, CA 96001-0814 | 2007-08-06 |
| 1659577450 | Mary C. Miller | Nurse Practitioner | 1255 Liberty Street, Redding, CA 96001-0814 | 2007-06-27 |
| 1649345281 | Stephen J Doll | Physician Assistant | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-11-21 |
| 1780796904 | Paul E Schwartz | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| 1750493979 | Shasta Orthopaedics & Sports Medicine | Family Medicine | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| 1366544595 | Stephen P Ferraro Jr. | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023123742 | Craig Francis Kulyn | Physician Assistant | 1238 West St, Redding, CA 96001-0415 | 2006-08-21 |
| 1245481985 | Luther W. King | Physician Assistant | 2175 Rosaline Avenue, Redding, CA 96001-2509 | 2008-09-30 |
| 1336329499 | David Jonathan Hillebert | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2007-11-06 |
| 1710005202 | Steven Irey | Physician Assistant | 2510 Airpark Dr, Suite 301, Redding, CA 96001-2449 | 2007-03-26 |
| 1407991490 | Aleksandr Sakharov | Physician Assistant | 2656 Edith Ave Ste B, Redding, CA 96001-3030 | 2007-02-20 |
| 1033281282 | Ryan James Zauher | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2509 | 2006-11-14 |
| 1942372198 | Christopher Clay Ludlow | Physician Assistant | 2510 Airpark Dr, Suite 301, Redding, CA 96001-2449 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
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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.