KATHLEEN ANN RUEL (NPI# 1487860987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487860987 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN RUEL |
| Credential | N.P. |
| Practice Address |
1497 Alcatraz Ave Berkeley CA 94702-2710 |
| Mailing Address |
16215 Lyle St San Leandro CA 94578-1114 |
| Practice Telephone | 5104331160 |
| Practice Fax Number | 5108440132 |
| Mailing Telephone | 5102767965 |
| Mailing Fax Number | 5104811949 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
13604 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | N.P. FURNISHING NUMBER | 13604 | 01 |
| Street Address |
1497 ALCATRAZ AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396967261 | Petrice P. Kam | Nurse Practitioner | 1497 Alcatraz Ave, Berkeley, CA 94702-2710 | 2007-05-02 |
| 1609277961 | Esther Akiba | Physical Therapist | 1497 Alcatraz Ave, Berkeley, CA 94702-2710 | 2014-09-05 |
| 1336556364 | Karla Spaulding | Registered Nurse | 1497 Alcatraz Ave, Berkeley, CA 94702-2710 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1790048767 | Yonis Ahmed Mudey | Nurse Practitioner | 2288 Fulton St Ste 309, Berkeley, CA 94704-1490 | 2012-06-24 |
| 1770764987 | Kevin L Joiner | Nurse Practitioner | 2001 Dwight Way # 1388, Berkeley, CA 94704-2608 | 2007-11-15 |
| 1043760705 | Denise Scholz | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2016-10-06 |
| 1679944169 | Melanie Marusczak | Nurse Practitioner | 3075 Adeline St, Ste 280, Berkeley, CA 94703-2576 | 2015-10-09 |
| 1154708956 | Susan Broadway | Nurse Practitioner | 1 Cyclotron Rd, Ms26r0143, Berkeley, CA 94720-8099 | 2015-04-30 |
| 1013316488 | Maki Matsumura | Nurse Practitioner | 1510 4th St, Suite 1, Berkeley, CA 94710-1717 | 2014-08-21 |
| 1851669386 | Helen Horvath | Nurse Practitioner | 3260 Sacramento St, Berkeley, CA 94702-2739 | 2011-12-12 |
| 1700029105 | Quan Thai | Nurse Practitioner | 2001 Dwight Way, Alta Bates Comprehensive Cancer Center, Berkeley, CA 94704-2608 | 2009-04-14 |
| 1023130622 | Laurel Jean Olslund | Nurse Practitioner | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2007-04-04 |
| 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.