MS. RUTH BARBARA ROESCHLAU (NPI# 1376775452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376775452 |
| Entity Type | Individual |
| Full Name | MS. RUTH BARBARA ROESCHLAU |
| Credential | R.N.,P.H.N |
| Practice Address |
36977 Park Ave Burney CA 96013-4067 |
| Mailing Address |
Po Box 27 Cassel CA 96016-0027 |
| Practice Telephone | 5303353651 |
| Practice Fax Number | 5303355241 |
| Mailing Telephone | 5303355882 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 96824 | CA | Nursing Service Providers |
| Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
10151 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN96824 | 05 | |
| CA | PHN10151 | 05 |
| Street Address |
36977 PARK AVE |
| City | BURNEY |
| State | CA |
| Zip Code | 96013-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578553772 | Herschel F Kearns | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2005-10-27 |
| 1134581325 | Onita Sue Viramontes | Counselor | 36977 Park Ave, Burney, CA 96013-4067 | 2016-03-25 |
| 1578709739 | Clarissa Renee Vargas | Dental Hygienist | 36977 Park Ave, Burney, CA 96013-4067 | 2008-12-18 |
| 1770732380 | Daneece Michelle Byrum | Registered Nurse | 36977 Park Ave, Burney, CA 96013-4067 | 2008-09-18 |
| 1730341306 | Sangeeta R Iyer | Internal Medicine | 36977 Park Ave, Burney, CA 96013-4067 | 2008-06-25 |
| 1528246253 | Phyllis Ann Hipps | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2008-02-05 |
| 1750426235 | Patrick Edward Melarkey | Dentist | 36977 Park Ave, Pit River Health Service, Burney, CA 96013 | 2007-02-21 |
| 1104976075 | Dennis Merle Thompson | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2007-01-11 |
| 1316012750 | Kathleen Alice Mitchell | Dental Hygienist | 36977 Park Ave, Pit River Heath Service, Burney, CA 96013 | 2006-11-21 |
| 1396713434 | Mark Clifford Goodwin | Family Medicine | 36977 Park Ave, Burney, CA 96013-4067 | 2006-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631926 | Debra Alderson | Marriage & Family Therapist | 36977 Park Ave., Burney, CA 96013 | 2018-08-31 |
| 1780182543 | Sherif Sobhy Abdalla Salama | Pharmacist | 37435 Main St., Riteaid #6101, Burney, CA 96013 | 2018-01-26 |
| 1649634841 | Michael Akas | Nurse Practitioner | 37497 Enterprise Drive, Burney, CA 96013 | 2016-04-13 |
| 1316096142 | Shasta County Mental Health Burney Clinic | Community/Behavioral Health | 37497 Enterprise Street, A, Burney, CA 96013 | 2007-01-10 |
| 1376636092 | Karen Patricia Van Dyke | Dentist | 20615 Commerce Way, Burney, CA 96013 | 2006-10-02 |
| 1396753315 | Bobetta Jeanne Berthelsen | Ophthalmology | 37333 State Highway 299 E, Burney, CA 96013 | 2006-08-04 |
| 1013943620 | Lewis Edgar Furber Jr. | Nurse Practitioner | 36977 Park Avenue, Pitt River Health Services, Burney, CA 96013 | 2006-06-24 |
| 1730253170 | Burney Fire District | Ambulance | 37072 Main Street, Burney, CA 96013-0000 | 2006-11-18 |
| 1821496357 | David M Moeschler | Public Health or Welfare | 36911 State Highway 299 E, Burney, CA 96013-4050 | 2014-12-16 |
| 1487733689 | Fall River Joint Unified School District | Local Education Agency (LEA) | 20375 Tamarack Ave, Burney, CA 96013-4054 | 2006-11-06 |
| Find all providers in zip 96013 | ||||
| Taxonomy Code | 364SC1501X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Community Health/Public Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335181 | Zinnia Community Care Clinic | Clinical Nurse Specialist | 2917 W Vernon Ave, Los Angeles, CA 90008-4714 | 2019-03-14 |
| 1467794453 | Katie Greene | Clinical Nurse Specialist | 2751 Tropicana Dr, Riverside, CA 92504-4277 | 2013-03-18 |
| 1780978379 | Andre Mitch Michaud | Clinical Nurse Specialist | 4215 26th St, San Francisco, CA 94131-1836 | 2011-06-01 |
| 1245467380 | Alice Y Wong | Clinical Nurse Specialist | 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 | 2009-06-16 |
| 1043344450 | Valerie Lee Bellnap | Clinical Nurse Specialist | 561 Canal St, Placerville, CA 95667-4312 | 2007-03-15 |
| 1871620369 | Patricia Jane Murphy | Clinical Nurse Specialist | 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 | 2007-02-28 |
| 1538296330 | Linda D Cromwell | Clinical Nurse Specialist | 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 | 2007-02-27 |
| 1477697985 | Cindy Slotterback Gaffney | Clinical Nurse Specialist | 950 Sevier Rd, Cool, CA 95614-9439 | 2007-02-16 |
| 1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
| 1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
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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.