MRS. TRISHA J FAGAN (NPI# 1609154517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609154517 |
| Entity Type | Individual |
| Full Name | MRS. TRISHA J FAGAN |
| Credential | PA |
| Practice Address |
1255 Liberty St Redding CA 96001-0814 |
| Mailing Address |
Po Box 991950 Redding CA 96099-1950 |
| Practice Telephone | 5302462467 |
| Mailing Telephone | 5302462467 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21676 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1255 LIBERTY ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057132 | Eric J Jenkinson | Pediatrics | 1255 Liberty St, Redding, CA 96001-0814 | 2005-07-15 |
| 1760025886 | Kimberly Kay Elliott | Social Worker | 1255 Liberty St, Redding, CA 96001-0814 | 2019-10-21 |
| 1447803374 | Seth Kneebone | Physical Therapist | 1255 Liberty St, Redding, CA 96001-0814 | 2019-07-19 |
| 1689172405 | Stacie Lyn Lonquist | Specialist/Technologist | 1255 Liberty St, Redding, CA 96001-0814 | 2018-01-26 |
| 1689106882 | Garret Strand | Podiatrist | 1255 Liberty St, Redding, CA 96001-0814 | 2017-03-28 |
| 1851836506 | Tyler Michael Martin | Physical Therapist | 1255 Liberty St, Redding, CA 96001-0814 | 2017-01-04 |
| 1225438658 | William A Ranker | Pharmacist | 1255 Liberty St, Suite C, Redding, CA 96001-0814 | 2014-09-04 |
| 1427479740 | Jennifer Olds | Registered Nurse | 1255 Liberty St, Redding, CA 96001-0814 | 2014-01-05 |
| 1114362019 | Forrest R Monroe | Anesthesiology | 1255 Liberty St, Redding, CA 96001 | 2013-05-06 |
| 1447536933 | Marisa Taylor Mackenzie | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972756 | Mobile One Urgent Care Physician Assistant Owned Apc | Physician Assistant | 3904 Rainier Dr, Redding, CA 96001-5914 | 2020-02-04 |
| 1538307970 | Hanh D Cline | Physician Assistant | 2420 Sonoma Street, Redding, CA 96001 | 2009-01-22 |
| 1871552828 | Cathy L. Ochs | Physician Assistant | 1647 Hartnell Ave Ste 6, Redding, CA 96002-2268 | 2006-03-20 |
| 1306474135 | Tai Chinnock Moses | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2020-03-28 |
| 1861960213 | Carri Ann Decarlo | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2018-11-04 |
| 1235580986 | Nicholas Cole | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-06-23 |
| 1962891036 | Kristen Anderson | Physician Assistant | 1035 Placer St, Suite 330, Redding, CA 96001-1125 | 2015-01-13 |
| 1447536933 | Marisa Taylor Mackenzie | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-10-27 |
| 1336428283 | Aaron Stinnett Englebright | Physician Assistant | 1555 East St, Suite 100, Redding, CA 96001-1153 | 2011-08-10 |
| 1942522495 | Sarah L Planchard | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2010-02-25 |
| Find all providers in REDDING | ||||
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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.