ANN THEOBALD (NPI# 1295924041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295924041 |
| Entity Type | Individual |
| Full Name | ANN THEOBALD |
| Credential | CP |
| Practice Address |
1248 32nd St Sacramento CA 95816-5210 |
| Practice Telephone | 9164522218 |
| Mailing Telephone | 9164522218 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1248 32ND ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679647556 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 1248 32nd St, Sacramento, CA 95816-5210 | 2006-11-20 |
| 1619393394 | Richard D Brunner | Specialist | 1248 32nd St, Sacramento, CA 95816-5210 | 2014-03-05 |
| 1083998124 | Edwin Suarez | Orthotist | 1248 32nd St, Sacramento, CA 95816-5210 | 2011-10-07 |
| 1417109729 | Richard David Burgess | Specialist | 1248 32nd St, Sacramento, CA 95816-5210 | 2008-10-17 |
| 1023207875 | Jonathan Smith | Orthotist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1386833135 | Michael J Wadekamper | Orthotist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1821287673 | Sandra West | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1225227077 | Michele A Hicks | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1760671515 | Christine A Meyer | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1720276025 | Bryan Hayes | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780964999 | Richard Lyman Wilcox | Prosthetist | 2425 Stockton Blvd, Suite 236, Sacramento, CA 95817-2215 | 2011-08-18 |
| 1164718235 | George Villarruel | Prosthetist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1932349883 | Eric J Smith | Prosthetist | 3001 P St, Suite B, Sacramento, CA 95816-6546 | 2009-03-04 |
| 1245492701 | Clint Jonutz | Prosthetist | 3838 Watt Ave Ste A110, Sacramento, CA 95821-2689 | 2008-06-26 |
| 1760671515 | Christine A Meyer | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1720276025 | Bryan Hayes | Prosthetist | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.