ROBERT PELLETIER (NPI# 1275171175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275171175 |
| Entity Type | Individual |
| Full Name | ROBERT PELLETIER |
| Practice Address |
2222 Bancroft Way Berkeley CA 94720-4301 |
| Practice Telephone | 5106426621 |
| Mailing Telephone | 5106426621 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 797091 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275077992 | Robert Noel Pelletier | Assistant Behavior Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-12-14 |
| Street Address |
2222 BANCROFT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
| 1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
| 1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
| 1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
| 1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
| 1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
| 1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
| 1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
| 1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
| 1588213334 | Mary Anne R Hammond | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
| 1174146328 | Antonio Villanueva | Registered Nurse | 935 Bancroft Way, Berkeley, CA 94710-2334 | 2020-05-22 |
| 1609427434 | Evan Cope | Registered Nurse | 281 Alvarado Rd, Berkeley, CA 94705-1512 | 2019-09-23 |
| 1699333401 | Alison Mittelberger | Registered Nurse | 2905 Dwight Way, Berkeley, CA 94704-2514 | 2019-06-05 |
| 1689239113 | Monica Garcia | Registered Nurse | University Health Services 2222 Bancroft Way Mc4300, Berkeley, CA 94720-0001 | 2019-05-09 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1639504962 | Rebecca Elaine Wahlgren | Registered Nurse | 7547 Claremont Ave, Berkeley, CA 94705-1432 | 2013-09-05 |
| 1174965750 | Saylom Swensen | Registered Nurse | 668 Arlington Ave, Berkeley, CA 94707-1642 | 2013-07-23 |
| 1861734303 | Erin Bures | Registered Nurse | 1204 Neilson St, Berkeley, CA 94706-2436 | 2013-03-22 |
| Find all providers in BERKELEY | ||||
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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.