MS. CAROL WILLOUGHBY (NPI# 1932383239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932383239 |
| Entity Type | Individual |
| Full Name | MS. CAROL WILLOUGHBY |
| Credential | R.N. |
| Practice Address |
614 Tully Rd San Jose CA 95111-1048 |
| Practice Telephone | 4084947573 |
| Practice Fax Number | 4084941557 |
| Mailing Telephone | 4084947573 |
| Mailing Fax Number | 4084941557 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
386395 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083954895 | Carol J Willoughby | Counselor | 2363 18th Ave, Columbus, NE 68601-2601 | 2013-02-15 |
| 1194891473 | Carol Willoughby | Speech-Language Pathologist | 10401 Ne Fourth Plain Rd, Suite 101, Vancouver, WA 98662-6308 | 2006-11-28 |
| Street Address |
614 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699843060 | Minh Chau Duong | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2006-12-01 |
| 1629630421 | Sonia Clemente | Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-07-01 |
| 1376109629 | Gardner Family Health Network Inc | Community/Behavioral Health | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-05-13 |
| 1316406481 | Ngoc Nguyen Hong Pham | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-03-18 |
| 1386114437 | Eloisa Ivette Rodriguez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-12-03 |
| 1275016669 | Carolina Garcia | Rehabilitation Counselor | 614 Tully Rd, San Jose, CA 95111-1048 | 2018-09-11 |
| 1326572959 | Mar Joseph Odias | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-04-20 |
| 1770021206 | Ryan Pagala | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1134667652 | Veronica Pham | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
| 1952849481 | Michael Borromeo | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2017-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1598085946 | Faina Eichis | Registered Nurse | 1993 Mckee Rd Bldg B, San Jose, CA 95116-1406 | 2010-06-08 |
| 1568643278 | Karen Havilla | Registered Nurse | 1989 Mckee Rd, San Jose, CA 95116-1406 | 2007-11-21 |
| 1366646556 | Lis Rosager Darner | Registered Nurse | 1734 Dry Creek Rd, San Jose, CA 95125-4626 | 2007-06-12 |
| 1285176222 | Jagjit Kaur Sandher | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2016-11-08 |
| 1316489495 | Quynh-nhi Chi Pham | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2016-11-07 |
| 1538418926 | Grace A Jiao | Registered Nurse | 614 Tully Rd, San Jose, CA 95111-1048 | 2012-08-31 |
| 1417203852 | Marisol Beatriz Urbina | Registered Nurse | 976 Lenzen Ave, San Jose, CA 95126-2737 | 2012-08-02 |
| 1760737233 | Bonita Struthers Pallo | Registered Nurse | 976 Lenzen Ave, 1800, San Jose, CA 95126-2737 | 2012-07-19 |
| 1902151509 | Charisse Feldman | Registered Nurse | 1993 Mckee Rd, Building B, San Jose, CA 95116-1406 | 2012-07-19 |
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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.