COURTNEY MARIE GREGORY


Address: 1501 Raegan Way, Santa Rosa, CA 95405-4526
Phone: 4156408512

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).

Provider Overview

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

Taxonomy

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

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Office Location

Street Address 1501 RAEGAN WAY
City SANTA ROSA
State CA
Zip Code 95405-4526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SANTA ROSA
Zip Code 95405

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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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