JILLIAN MCCOY (NPI# 1780206961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206961 |
| Entity Type | Individual |
| Full Name | JILLIAN MCCOY |
| Practice Address |
3282 Adeline St Berkeley CA 94703-2439 |
| Mailing Address |
2315 1/2 9th St Berkeley CA 94710-2323 |
| Practice Telephone | 5106446965 |
| Mailing Telephone | 4154105800 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821635 | Jillian Lee Mccoy | In Home Supportive Care | 3204 Grant Ln, Midland, MI 48642-5054 | 2016-10-13 |
| 1265910087 | Jillian Marie Mccoy | Physician Assistant | 28780 Single Oak Dr Ste 160, Temecula, CA 92590-5528 | 2018-08-02 |
| 1154562262 | Jillian V. Mccoy | Registered Nurse | 1 Riverside Cir, Hayesville, NC 28904-7946 | 2009-03-19 |
| Street Address |
3282 ADELINE ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220936 | Ellen Moore | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2006-07-04 |
| 1720640121 | Jan Lau | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2019-07-05 |
| 1679077853 | Veena Kumari Channon | Case Manager/Care Coordinator | 3282 Adeline St, Berkeley, CA 94703-2439 | 2018-03-21 |
| 1467965129 | Molly Gerstein Gales | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-11-15 |
| 1346766342 | Zachary Haskell Meredith | Social Worker | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-08-21 |
| 1831613702 | Mary Youm | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-08-01 |
| 1871013474 | Jose R Buenrostro | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2017-06-23 |
| 1184171050 | Brian Cheung | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2016-09-08 |
| 1528512548 | Christopher James Edwards | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2016-08-08 |
| 1730537226 | Francesca Calvano | Student in an Organized Health Care Education/Training Program | 3282 Adeline St, Berkeley, CA 94703-2439 | 2016-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
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| 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 |
|---|---|---|---|---|
| 1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
| 1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
| 1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
| 1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
| 1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
| 1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
| 1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
| 1669957684 | Elizabeth Blieden | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 | 2018-09-25 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
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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.