LANE DEITCHLER (NPI# 1740464783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740464783 |
| Entity Type | Individual |
| Full Name | LANE DEITCHLER |
| Credential | NP |
| Practice Address |
376 Vallombrosa Ave Chico CA 95926-3997 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 5308911676 |
| Practice Fax Number | 5308911833 |
| Mailing Telephone | 2083675189 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP766A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3340 E Goldstone Way, Meridian, ID 836421026 | 2083675189 | 2083675180 |
| Street Address |
376 VALLOMBROSA AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313565 | Frederick M David | Family Medicine | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2005-11-14 |
| 1962009324 | Ellie Catharine Black | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3997 | 2020-10-07 |
| 1801493424 | Carleigh Brekke | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2020-10-06 |
| 1083221295 | Jaimie Malone | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3997 | 2020-09-30 |
| 1134647654 | Christina Lee | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2017-09-05 |
| 1093233686 | Patricia Stein | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2017-09-02 |
| 1801256532 | Sasha Musso | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2016-02-23 |
| 1144686908 | Lottie Pierce | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2016-01-11 |
| 1609254309 | Mark Allen | Physician Assistant | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2015-05-13 |
| 1306235825 | Carrie Larsen | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2015-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
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| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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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.