JEAN WADHAMS GELLER (NPI# 1316925035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316925035 |
| Entity Type | Individual |
| Full Name | JEAN WADHAMS GELLER |
| Credential | NP |
| Practice Address |
3152 N Millbrook Ave Suite B Fresno CA 93703-1459 |
| Mailing Address |
3812 N 1st St Fresno CA 93726-4301 |
| Practice Telephone | 5592440133 |
| Practice Fax Number | 5592440148 |
| Mailing Telephone | 5594953120 |
| Mailing Fax Number | 5594953134 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
275340 | CA | Nursing Service Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5681 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE | 275340 | 01 |
| CA | NURSE PRACTITIONER LIC | 5681 | 01 |
| Street Address |
3152 N MILLBROOK AVE SUITE B |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827922 | Wade Alden Dickinson | Obstetrics & Gynecology | 3152 N Millbrook Ave, #suite B, Fresno, CA 93703-1459 | 2005-08-02 |
| 1578021713 | Floyd Edward Robinson Sr. | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2019-03-06 |
| 1053866418 | Rupinder Bhangoo | Nurse Practitioner | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2016-08-15 |
| 1396173829 | Family Wellness Clinic | Clinic/Center | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2013-10-18 |
| 1164789905 | Phillip Cowings IIi | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2012-04-18 |
| 1417227745 | Tina Marie Overstreet | Physician Assistant | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2012-01-04 |
| 1093021693 | Evette Boshra Zikry Gabriel | Physician Assistant | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2010-08-20 |
| 1801050240 | Brenda Cruz | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2008-07-15 |
| 1639339377 | Panacea Services, Inc | Community/Behavioral Health | 3152 N Millbrook Ave, Suite D&e, Fresno, CA 93703-1400 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376699371 | Charlotte Doreen Manchester | Registered Nurse | 7300 N Fresno St, Fresno, CA 93720-2941 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899200 | Julie Ann Boyer | Registered Nurse | 11901 Kern River Ave, Bakersfield, CA 93308-9610 | 2020-10-18 |
| 1578037289 | Lindsey Mae Rice | Registered Nurse | 1140 Sonoma Ave Ste 3, Santa Rosa, CA 95405-4817 | 2019-01-15 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1609220037 | Rowena D. Meyer | Registered Nurse | 314 E Linfield St, Glendora, CA 91740-6325 | 2016-04-22 |
| 1528430493 | Rebecca Banuelos | Registered Nurse | 1442 Ethan Way Ste 200, Sacramento, CA 95825-2232 | 2015-10-30 |
| 1922406982 | Micaela G Mercado | Registered Nurse | 1469 Humboldt Rd Ste 200, Chico, CA 95928-9203 | 2014-12-08 |
| 1427451855 | Amanda Dunn | Registered Nurse | 1337 Chanate Road Suite 2c, Santa Rosa, CA 95404 | 2014-09-30 |
| 1255673893 | Sally Wilson | Registered Nurse | 4456 Dawes Ave, Culver City, CA 90230 | 2013-03-21 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 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.