DEBRA JEAN PEDERSON


Address: 720 Wood St, Eureka, CA 95501-4413
Phone: 7072682990

DEBRA JEAN PEDERSON (NPI# 1659901791) 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) 1659901791
Entity Type Individual
Full Name DEBRA JEAN PEDERSON
Credential RN
Practice Address 720 Wood St
Eureka
CA 95501-4413
Mailing Address 4103 Thomas Dr
Lakeport
CA 95453-9302
Practice Telephone 7072682990
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
95064626 CA Nursing Service Providers

Other Providers DEBRA PEDERSON

NPI Name Taxonomy Address Enumeration
1659763662 Debra Pederson Pharmacist 3600 Washburn Way, Klamath Falls, OR 97603-4539 2015-02-27

Office Location

Street Address 720 WOOD ST
City EUREKA
State CA
Zip Code 95501-4413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780646521 Janese Charpentier Nurse Practitioner 720 Wood St, Eureka, CA 95501-4413 2006-04-05
1215537998 Angela Dawn Tierno Blackthorne Counselor 720 Wood St, Eureka, CA 95501-4413 2020-10-30
1164029534 Laura Tansley Conger Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1679170120 Robert William Williams Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1144827049 James Rager Anderson Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-04
1710593173 Jody Swan Student in an Organized Health Care Education/Training Program 720 Wood St, Eureka, CA 95501-4413 2020-09-21
1669088340 Eric Hall Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-09-18
1073127403 Christiane Desir Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-09-02
1093325508 Edmund Sanez Lao Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-08-09
1730799180 Robert Christopher Amerman Counselor 720 Wood St, Eureka, CA 95501-4413 2020-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104953132 Marcile Elizabeth Raney Registered Nurse 720 Wood Street, Eureka, CA 95501 2007-02-27
1073127403 Christiane Desir Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-09-02
1093325508 Edmund Sanez Lao Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-08-09
1659980837 Erin Lorraine Keilty Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-07-23
1629698139 Johna Fay May Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-04-24
1174174395 Jerry Buscano Conde Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2019-09-28
1508413139 Andrea E Mclymont Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2019-08-19
1639725559 Arnold Baker Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2019-08-15
1902452287 Gian Gizelle Alconcel Grasparil Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2019-08-13
1235784646 Jason Robert Sullivan Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2019-08-04
Find all providers in EUREKA

Competitor

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City EUREKA
Zip Code 95501

Improve Information

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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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