JODY SWAN (NPI# 1710593173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710593173 |
Entity Type | Individual |
Full Name | JODY SWAN |
Practice Address |
720 Wood St Eureka CA 95501-4413 |
Practice Telephone | 7072682990 |
Enumeration Date | 2020-09-21 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
720 WOOD ST |
City | EUREKA |
State | CA |
Zip Code | 95501-4413 |
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 |
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 |
1659980837 | Erin Lorraine Keilty | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-23 |
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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 |
Find all providers in zip 95501 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922622851 | Ramir Geluz | Student in an Organized Health Care Education/Training Program | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2020-06-06 |
1285258194 | Milad Najar Ranjbar | Student in an Organized Health Care Education/Training Program | 2700 Dolbeer St, Eureka, CA 95501-4799 | 2020-06-05 |
1194348656 | Shenoda Yousef Azmy Abd Elmaseh | Student in an Organized Health Care Education/Training Program | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2020-05-19 |
1326667171 | Zena El Jandali El Rifai | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2020-04-12 |
1861021354 | Brittany Daniel | Student in an Organized Health Care Education/Training Program | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2020-04-06 |
1518514553 | John Henry Earl | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2019-08-23 |
1629635743 | Nicole Kashani | Student in an Organized Health Care Education/Training Program | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-05-23 |
1326605619 | Madonna Romaya | Student in an Organized Health Care Education/Training Program | 2700 Dolbeer St, Eureka, CA 95501-4799 | 2019-05-22 |
1609432434 | Sean Edward Purtell | Student in an Organized Health Care Education/Training Program | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2019-05-16 |
1407412356 | Mikal Lauren Achtner | Student in an Organized Health Care Education/Training Program | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-05-16 |
Find all providers in EUREKA |
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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.