CICILY RAYE COOPER


Address: 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559
Phone: 7075597500

CICILY RAYE COOPER (NPI# 1518573161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518573161
Entity Type Individual
Full Name CICILY RAYE COOPER
Credential FNP
Practice Address 1179 N Mcdowell Blvd
Petaluma
CA 94954-6559
Practice Telephone 7075597500
Practice Fax Number 7075597620
Mailing Telephone 7075597500
Enumeration Date 2020-09-18
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95015489 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1179 N MCDOWELL BLVD
City PETALUMA
State CA
Zip Code 94954-6559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366445785 Michelle Davey Family Medicine 1179 N Mcdowell Blvd, Petaluma, CA 94954 2005-05-31
1942809256 Rachel Pradarelli Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2020-10-19
1912512492 Andrea Akabike Dentist 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2020-09-11
1306479381 Leslie Ann Burger Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2020-02-18
1932759461 Joanna Tripet-diel Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-09-17
1588214019 Colette Long Registered Nurse 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-09-17
1184274615 Mario Marin Garcia Physician Assistant 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-09-17
1073162541 Luisa Rendon Ward Social Worker 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-09-08
1801356605 Kelly Marie Ware Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-03-20
1124586755 Gisselle E Suazo Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-03-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346883840 Miguel Ibarra Counselor 5350 Old Redwood Highway, Petaluma, CA 94954 2019-10-28
1073169223 Monica Renee Najera Behavior Technician 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 2019-08-14
1326607201 Making Magic Happen - People Helping People, Inc. Marriage & Family Therapist 1318 Redwood Way, Suite 260, Petaluma, CA 94954 2019-06-13
1477019917 Rubi Isela Cruz Mendoza I Behavioral Analyst 8 Round Walk Circle, Petaluma, CA 94954 2019-02-20
1932679511 Karen Christianson Behavior Technician 1670 Corporate Circle Suite 100, Petaluma, CA 94954 2018-11-27
1669956967 Alyssa Messer Assistant Behavior Analyst 1670 Corporate Cir, Petaluma, CA 94954 2018-09-21
1235620592 Mallory Paige Mullikin Nurse Practitioner 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 2018-05-22
1457723710 Lisabel Dolne Counselor 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 2015-10-27
1083080717 Pacific Restorative Center Clinic/Center 1456 Professional Drive, Suite 404, Petaluma, CA 94954 2015-08-17
1619354198 Accu Quest Hearing Centers Clinic/Center 1456 Professional Dr., Suite 404, Petaluma, CA 94954 2015-05-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235620592 Mallory Paige Mullikin Nurse Practitioner 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 2018-05-22
1386989630 Kari Rebekah Cedillo Nurse Practitioner 411 N Mcdowell Blvd Ste 10, Petaluma, CA 94954-2339 2012-11-27
1700993334 Meliea Ann Lane Nurse Practitioner 1456 Professional Dr Ste #405, Petaluma, CA 94954 2006-08-23
1275547085 Julie Anna Bautista Nurse Practitioner 411 N Mcdowell Blvd Unit 41, Petaluma, CA 94954-2339 2006-07-28
1033196829 Barbara L. Schoen Nurse Practitioner 599 Tomales Rd., Petaluma, CA 94952 2005-12-22
1942809256 Rachel Pradarelli Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2020-10-19
1306479381 Leslie Ann Burger Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2020-02-18
1124586755 Gisselle E Suazo Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-03-02
1770049165 Angie Davis Nurse Practitioner 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 2019-02-11
1326544347 William Tyson Buis Nurse Practitioner 411 N Mcdowell Blvd Unit 41, Petaluma, CA 94954-2339 2018-03-30
Find all providers in PETALUMA

Competitor

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City PETALUMA
Zip Code 94954

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Dataset Information

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.

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