ALICE GENTZLER GENUNG


Address: 659 Cherry St, Santa Rosa, CA 95604
Phone: 7075268300

ALICE GENTZLER GENUNG (NPI# 1750499018) 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) 1750499018
Entity Type Individual
Full Name ALICE GENTZLER GENUNG
Credential NP
Practice Address 659 Cherry St
Santa Rosa
CA 95604
Practice Telephone 7075268300
Practice Fax Number 7075268310
Mailing Telephone 7075268300
Mailing Fax Number 7075268310
Enumeration Date 2006-08-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP13037 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 659 CHERRY ST
City SANTA ROSA
State CA
Zip Code 95604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467472357 Clarence Rodney Garzoli Marriage & Family Therapist 659 Cherry St, Santa Rosa, CA 95404-4202 2006-07-20
1063896231 Kate Ramsey, Mft Marriage & Family Therapist 659 Cherry St, Suite 206, Santa Rosa, CA 95404-4280 2015-07-16
1891060141 Rebecca Renee Potter Chiropractor 659 Cherry St, Ste. 201, Santa Rosa, CA 95404-4280 2012-03-20
1518117415 Beth Caryl Fox Marriage & Family Therapist 659 Cherry St, Santa Rosa, CA 95404-4202 2008-09-26
1447423835 Phyllis Jane Haig Marriage & Family Therapist 659 Cherry St, Santa Rosa, CA 95404-4202 2008-04-08
1891965067 Jill Salenger-kane Psychologist 659 Cherry St, Santa Rosa, CA 95404-4202 2008-03-04
1275719395 Claudia Ann Viadro Marriage & Family Therapist 659 Cherry St, Suite 105, Santa Rosa, CA 95404-4202 2008-01-18
1093901779 Annette St Marie-michael Marriage & Family Therapist 659 Cherry St, Suite 203, Santa Rosa, CA 95404-4280 2007-09-17
1447475165 Josephine Lowe Marriage & Family Therapist 659 Cherry St, Santa Rosa, CA 95404-4202 2007-04-16
1851516124 Judith Bernstein Social Worker 659 Cherry St, Santa Rosa, CA 95404-4202 2007-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104961721 Placer Union High School District Local Education Agency (LEA) 13000 New Airport Road, Auburn, CA 95604 2007-02-21
1023636925 Barrie J Roer Psychologist 100 Harrison Ave Unit 54, Auburn, CA 95604-0804 2020-07-08

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780160234 Susan English Knowles Nurse Practitioner 3383 Airway Dr, Santa Rosa, CA 95403-2005 2018-07-18
1912498726 Lydia Ann Smith Nurse Practitioner 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 2018-05-29
1659870186 Shannon Cross Todd Nurse Practitioner 4729a Hoen Ave, Santa Rosa, CA 95405-7862 2018-02-11
1093222408 Mary Esther Andich Nurse Practitioner 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 2018-01-08
1316473697 Renee Novakovich Nurse Practitioner 704 Adobe Dr, Santa Rosa, CA 95404-2706 2017-05-05
1780139634 Robin Shank Sanderson Nurse Practitioner 751 Lombardi, Santa Rosa, CA 95407 2016-08-22
1437549235 Jennifer Takagi Nurse Practitioner 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 2015-01-31
1164828828 Danielle J Daye Nurse Practitioner 50 Montgomery Dr, Santa Rosa, CA 95404-6615 2014-11-07
1609208354 Derrick Pelton Nurse Practitioner 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 2013-08-05
1225313869 Kristine Monson Brown Nurse Practitioner 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 2011-10-14
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Competitor

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City SANTA ROSA
Zip Code 95604

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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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