THERESA MALLICK-SEARLE (NPI# 1841296779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841296779 |
| Entity Type | Individual |
| Full Name | THERESA MALLICK-SEARLE |
| Credential | N.P. |
| Practice Address |
300 Pasteur Dr., Rm. H-3630 Stanford CA 94305-5642 |
| Mailing Address |
112 Palm Ave San Carlos CA 94070-1925 |
| Practice Telephone | 6507255202 |
| Practice Fax Number | 6507250533 |
| Mailing Telephone | 6507255202 |
| Mailing Fax Number | 6507250533 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP 13587 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40441H | 05 |
| Street Address |
300 PASTEUR DR., RM. H-3630 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-5642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407391253 | Mary Jennifer Hoff | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2017-01-04 |
| 1396289070 | Kristin Danielle Kennedy | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-12-14 |
| 1679944615 | Erin Davis | Nurse Practitioner | 480 Oak Rd, Stanford, CA 94305-4507 | 2015-10-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1215295407 | Jennifer Nicole Cannon | Nurse Practitioner | 300 Pasteur Drive, A157a, Stanford, CA 94305 | 2012-04-25 |
| 1619244480 | Donna Castelli Garay | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2011-11-22 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1134430135 | Matthew M Burke | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2010-06-24 |
| 1952621930 | Elika Rad | Nurse Practitioner | 300 Pasteur Dr, Chest Clinic, A293, Stanford, CA 94305-2200 | 2010-06-01 |
| Find all providers in STANFORD | ||||
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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.