MR. RICKI PAUL NOLLEY JR. (NPI# 1578878625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578878625 |
| Entity Type | Individual |
| Full Name | MR. RICKI PAUL NOLLEY JR. |
| Credential | PA-C, MSPAS, MPH |
| Practice Address |
1800 Sutter St Ste 100 Concord CA 94520-2530 |
| Mailing Address |
Po Box 31396 Walnut Creek CA 94598-8396 |
| Practice Telephone | 2593985859 |
| Practice Fax Number | 9259332709 |
| Mailing Telephone | 9259398585 |
| Mailing Fax Number | 9259332709 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 SUTTER ST STE 100 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920796 | Bradley D Crow | Orthopaedic Surgery | 1800 Sutter St Ste 100, Concord, CA 94520-2530 | 2006-07-07 |
| 1750581278 | Semon R Bader | Orthopaedic Surgery | 1800 Sutter St Ste 100, Concord, CA 94520-2530 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515223 | Georgia A Plamondon | Physician Assistant | 248 Pleasant St Ste G200, Concord, NH 03301-7529 | 2008-07-11 |
| 1114947850 | David Harrison Sargent | Physician Assistant | 246 Pleasant St Ste 205, Concord, NH 03301-2548 | 2006-07-19 |
| 1427038751 | Lawrence O'malley | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2006-01-20 |
| 1205437498 | Shane Scavello | Physician Assistant | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-11-04 |
| 1184248924 | Dustin Edwards | Physician Assistant | 920 Church St N, Concord, NC 28025-2927 | 2020-06-06 |
| 1043842859 | Anastasha Molina | Physician Assistant | 200 Medical Park Dr Ste 400, Concord, NC 28025-0939 | 2020-02-10 |
| 1285097436 | Caitlin Rhys Hackford | Physician Assistant | 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 | 2016-04-04 |
| 1730421348 | Lebron A Saulter | Physician Assistant | 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 | 2013-03-21 |
| 1316246382 | Karen Ann Barry | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2011-03-16 |
| 1013220110 | Erika M Nigam | Physician Assistant | 100 Medical Park Dr, Suite 210, Concord, NC 28025-2948 | 2010-07-16 |
| Find all providers in CONCORD | ||||
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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.