DESALEGN EJIGU (NPI# 1689150716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689150716 |
| Entity Type | Individual |
| Full Name | DESALEGN EJIGU |
| Practice Address |
3001 Douglas Blvd Ste 325 Roseville CA 95661-4289 |
| Practice Telephone | 9162419844 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95009204 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 DOUGLAS BLVD STE 325 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285665620 | Julie Marie Gebhardt | Physician Assistant | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2006-07-05 |
| 1528572856 | Allison Holt | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2017-11-22 |
| 1962930636 | Sandra Caroline Letim | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2017-05-25 |
| 1104367465 | Anyta Hicks-williams | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2017-03-19 |
| 1063860575 | Jodi Pace | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2016-05-25 |
| 1952758344 | Catherine Okafor | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2016-05-16 |
| 1023437159 | Farina Tayo | Registered Nurse | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2014-04-16 |
| 1154612331 | Jeanine L Isenhoff | Nurse Practitioner | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2011-04-22 |
| 1417076738 | Rupinder K Cheema | Family Medicine | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2007-03-28 |
| 1528129186 | Geraldine Ann Suliman | Dietitian, Registered | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| Find all providers in ROSEVILLE | ||||
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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.