COURTNEY MARIE GREGORY (NPI# 1780238386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780238386 |
Entity Type | Individual |
Full Name | COURTNEY MARIE GREGORY |
Credential | RN, IBCLC |
Practice Address |
1501 Raegan Way Santa Rosa CA 95405-4526 |
Practice Telephone | 4156408512 |
Mailing Telephone | 4156408512 |
Enumeration Date | 2019-07-31 |
Last Update Date | 2019-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 653350 | CA | Nursing Service Providers |
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L87781 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902241433 | Courtney Prozzo Gregory | Speech-Language Pathologist | 6505 Shiloh Rd, #100, Alpharetta, GA 30005-8405 | 2013-05-10 |
1356659262 | Courtney Gregory | Nurse Practitioner | 2000 County Services Dr, Pelham, AL 35124-6149 | 2010-09-14 |
Street Address |
1501 RAEGAN WAY |
City | SANTA ROSA |
State | CA |
Zip Code | 95405-4526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
Find all providers in zip 95405 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770098667 | Linda Duste | Registered Nurse | 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405-4559 | 2017-12-13 |
1558776237 | Nikki Schuster | Registered Nurse | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2014-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071098 | Corinne Breshears | Registered Nurse | 2848 Cantegra Gln, Escondido, CA 92025-7347 | 2020-10-16 |
1518571660 | Cherie Amour Mouton | Registered Nurse | 43854 46th St W, Lancaster, CA 93536-2365 | 2020-09-06 |
1629688007 | Christine Marie Decker-hughes | Registered Nurse | 11026 Corte Playa Tampico, San Diego, CA 92124-4101 | 2020-07-31 |
1659980662 | Jennifer Gathman | Registered Nurse | 16935 W Bernardo Dr Ste 105, San Diego, CA 92127-1657 | 2020-07-26 |
1497370654 | Tamera Rennaker | Registered Nurse | 4351 Fairwood Ct, Concord, CA 94521-1346 | 2020-06-13 |
1326667353 | Megan Atol | Registered Nurse | 24040 Martingale Way, Tehachapi, CA 93561-8352 | 2020-04-09 |
1194352724 | Jennifer W Rousseau | Registered Nurse | 134 Hahn Way, Cotati, CA 94931-5313 | 2020-03-24 |
1801428503 | Sara Whitehouse | Registered Nurse | 153 Ramona Way, Oceanside, CA 92057-7377 | 2020-02-10 |
1184267601 | Gina Sterchi | Registered Nurse | 327 1/2 Montrose Dr Apt A, Folsom, CA 95630-3381 | 2019-10-28 |
1013550219 | Kimberley Chilcote | Registered Nurse | 3901 Lone Tree Way Fl 2, Antioch, CA 94509-6200 | 2019-10-21 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 95405 |
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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.