WENDY MARIE RICHARDSON (NPI# 1508007238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508007238 |
| Entity Type | Individual |
| Full Name | WENDY MARIE RICHARDSON |
| Other Name | WENDY MARIE STAFFORD |
| Credential | PA-C |
| Practice Address |
670 County Rd 83 Canby CA 96015 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 5302334641 |
| Practice Fax Number | 5302332830 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 20225 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891193439 | Wendy Richardson | Marriage & Family Therapist | 3121 Park Ave Ste F, Soquel, CA 95073-2956 | 2014-12-14 |
| 1518130517 | Wendy W Richardson | Nurse Anesthetist, Certified Registered | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2008-04-10 |
| Street Address |
670 COUNTY RD 83 |
| City | CANBY |
| State | CA |
| Zip Code | 96015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 1093990236 | David Saliba | Dentist | 670 County Rd 83, Canby, CA 96015-9702 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316327414 | Mickey Cole | Dental Hygienist | 670 County Road 83, Canby, CA 96015 | 2015-06-03 |
| 1316172034 | Joey Chou-yie Chen | Dentist | 670 County Road 83, Canby, CA 96015 | 2009-05-26 |
| 1376909770 | Sara Jeanne Marchessault | Physician Assistant | 670 County Road 83, Canby, CA 96015-0125 | 2016-01-14 |
| 1528063153 | I'sot Inc | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2005-06-20 |
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1225180649 | John Nicholas Bardonner IIi | Dentist | 670 County Road 83, Canby, CA 96015-9722 | 2007-01-17 |
| 1760473706 | Susan Adele Burger | Dental Hygienist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-31 |
| 1053301689 | Lorna K Boland | Registered Nurse | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1467442079 | Virginia L Hassler | Nurse Practitioner | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1841280435 | Raymond P Mandel | Psychologist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| Find all providers in zip 96015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164499463 | Sandra Leigh Kosik | Physician Assistant | 200 S Hazel Dell Way, Canby, OR 97013-7829 | 2006-03-06 |
| 1508349325 | Robbie Michael Kazi | Physician Assistant | 112 Saint Olaf Ave S, Canby, MN 56220-1433 | 2018-09-07 |
| 1356844385 | Kahley Elizabeth Meyer | Physician Assistant | 112 Saint Olaf Ave S, Canby, MN 56220 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 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.