FAWN LYNN MCCLOUD (NPI# 1770737009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770737009 |
| Entity Type | Individual |
| Full Name | FAWN LYNN MCCLOUD |
| Credential | FNP |
| Practice Address |
243 Georgia St Suite B Vallejo CA 94590-5905 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 7075568100 |
| Practice Fax Number | 7075568107 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354225 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF12893 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
243 GEORGIA ST SUITE B |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407890320 | Luz Maria Hernandez | Nurse Practitioner | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2006-06-15 |
| 1700433604 | Karla Bailey | Nurse Practitioner | 243 Georgia St, Vallejo, CA 94590-5905 | 2019-08-25 |
| 1548784374 | Victoria Elizabeth Owens | Nurse Practitioner | 243 Georgia St, Vallejo, CA 94590-5905 | 2017-08-02 |
| 1942687140 | Andres Cazares | Social Worker | 243 Georgia St, Vallejo, CA 94590-5905 | 2015-04-27 |
| 1710316948 | Lindsey Strandberg | Nurse Practitioner | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2013-11-07 |
| 1912216763 | Jennifer Kalika Stanger | Family Medicine | 243 Georgia St, Vallejo, CA 94590-5905 | 2010-09-28 |
| 1386952745 | Laura Salcido | Nurse Practitioner | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2010-09-20 |
| 1427206796 | James Ernest Lessenger | Family Medicine | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2008-08-28 |
| 1912030453 | Galadriel Ann Bonnel | Registered Nurse | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2007-03-13 |
| 1427121896 | Peter Navolanic II | Family Medicine | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820525 | Jaymijah Marie Means | Nurse Practitioner | 149 Pacific Ct, Vallejo, CA 94589-2174 | 2019-06-20 |
| 1588071179 | Lichelle Nucum Lum | Nurse Practitioner | 100 Hospital Dr Ste 110, Vallejo, CA 94589-2577 | 2014-07-16 |
| 1407260722 | Christine J Romano | Nurse Practitioner | 754 S Regatta Dr, Vallejo, CA 94591-6944 | 2014-06-13 |
| 1225376197 | Jalynne None Sousa | Nurse Practitioner | 3431 Broadway, Vallejo, CA 94592-1189 | 2013-01-28 |
| 1316211576 | Suzanne Elizabeth Spillner | Nurse Practitioner | 33 Marina Ridge Ct, Vallejo, CA 94591-6429 | 2012-03-05 |
| 1902029879 | Christine Smith | Nurse Practitioner | 200 Maritime Academy Dr, Vallejo, CA 94590-8181 | 2007-04-10 |
| 1407890320 | Luz Maria Hernandez | Nurse Practitioner | 243 Georgia St, Suite B, Vallejo, CA 94590-5905 | 2006-06-15 |
| 1649893660 | Stacyann Andaya | Nurse Practitioner | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2020-05-26 |
| 1700433604 | Karla Bailey | Nurse Practitioner | 243 Georgia St, Vallejo, CA 94590-5905 | 2019-08-25 |
| 1528561610 | Cynthia Loretta Mcbride | Nurse Practitioner | 506 Couch St, Vallejo, CA 94590-2408 | 2018-03-14 |
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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.