NICOLE ANASTASIA SPOONER (NPI# 1508186644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508186644 |
| Entity Type | Individual |
| Full Name | NICOLE ANASTASIA SPOONER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1612 Julia St Berkeley CA 94703 |
| Mailing Address |
1612 Julia St Berkeley CA 94703-2018 |
| Practice Telephone | 4153074566 |
| Practice Fax Number | 4152064153 |
| Mailing Telephone | 4153074566 |
| Mailing Fax Number | 4152064153 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 755783 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005748 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Treat Blvd # 160, Walnut Creek, CA 945972168 | 9252969000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083155840 | Nicole Susan Spooner | Dental Hygienist | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2017-03-13 |
| Street Address |
1612 JULIA ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861967622 | Liliana Teves Sierra | Nurse Practitioner | 837 Addison St, Berkeley, CA 94710 | 2018-10-09 |
| 1295210995 | Brian Christopher Vassalo | Nurse Practitioner | 1528 Woolsey St Apt D, Berkeley, CA 94703-2353 | 2018-09-27 |
| 1942710140 | Laila Rania Tannura | Nurse Practitioner | 837 Addison St., Berkeley, CA 94710 | 2017-10-03 |
| 1275063323 | Alice Mak | Nurse Practitioner | 3154 College Ave Apt 2, Berkeley, CA 94705-2747 | 2017-06-12 |
| 1174996839 | Niccole Blanchet | Nurse Practitioner | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2015-11-03 |
| 1497996953 | Tamra Leigh Groode | Nurse Practitioner | 2701 Martin Luther King Jr Way, Berkeley, CA 94703-2165 | 2009-03-13 |
| 1306066576 | Gretchen Leslie Meyer | Nurse Practitioner | 2016 Delaware St # A, Berkeley, CA 94709-2122 | 2007-04-27 |
| 1285765313 | Mythilla Karunaratne | Nurse Practitioner | 2999 Regent St Ste 425, Berkeley, CA 94705-2119 | 2007-03-08 |
| 1144358532 | Pam Elizabeth Cameron | Nurse Practitioner | University Health Servcices 2222 Bancroft Way, Berkeley, CA 94720-4300 | 2007-02-28 |
| 1497851653 | Maile Concolino Matier | Nurse Practitioner | 2222 Bancroft Ext # 4300, Berkeley, CA 94720-4300 | 2006-09-15 |
| 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.