SVETLANA ROMANOVNA MULCAHY (NPI# 1932532272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932532272 |
| Entity Type | Individual |
| Full Name | SVETLANA ROMANOVNA MULCAHY |
| Credential | FNP |
| Practice Address |
205 South St Fort Bragg CA 95437-5540 |
| Practice Telephone | 7079641251 |
| Practice Fax Number | 7079614023 |
| Mailing Telephone | 7079641251 |
| Mailing Fax Number | 7079614023 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23299 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PIN | 6120926 | 01 |
| CA | FHC03967F | 05 |
| Street Address |
205 SOUTH ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861782 | Wade Joseph Gray | Family Medicine | 205 South St, Fort Bragg, CA 95437-5540 | 2005-06-15 |
| 1477046027 | Roy Campbell | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2018-06-08 |
| 1457861783 | Andrea Masters | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2017-09-29 |
| 1437501566 | Jae Do Kim | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2016-07-13 |
| 1558790774 | Nadege Nerette | Physician Assistant | 205 South St, Fort Bragg, CA 95437-5540 | 2013-11-07 |
| 1013257831 | Kimberly Jill Celeri | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2013-02-15 |
| 1821340480 | Genevieve Marilyn Gonzalez | Counselor | 205 South St, Fort Bragg, CA 95437 | 2012-10-08 |
| 1447500988 | Ted Michael Aames | Counselor | 205 South St, Fort Bragg, CA 95437-5540 | 2012-09-12 |
| 1740587229 | Wendy J Carvajal | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2011-02-18 |
| 1073841540 | Lynne Barbara Bornheim | Social Worker | 205 South St, Fort Bragg, CA 95437 | 2009-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574670 | Rodney Saunders | Nurse Practitioner | 4527 Bastogne Dr, Fort Bragg, NC 28310-0001 | 2020-10-02 |
| 1891200812 | Diana M Costa | Nurse Practitioner | Bldg C-1722 Tagaytay Street, Fort Bragg, NC 28310-4712 | 2017-12-13 |
| 1558753772 | Tonya Maddox | Nurse Practitioner | 1722-c Tagaytay Dr, Fort Bragg, NC 28310-0001 | 2015-02-25 |
| 1801298435 | James Brown | Nurse Practitioner | Womack Army Hospital 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2014-09-26 |
| 1164832754 | Karen L Szafrajda | Nurse Practitioner | C-1722 Tagaytay, Fort Bragg, NC 28310-0001 | 2014-05-05 |
| 1972856706 | Shannon Tara Ormsbee | Nurse Practitioner | Wamc Clark Health Clinic, Bldg 5-4257 Bastogne Street, Fort Bragg, NC 28310 | 2012-10-17 |
| 1659500650 | Warren Thomas Day | Nurse Practitioner | 2132 Reilly St, Fort Bragg, NC 28310-0001 | 2009-07-11 |
| 1255574869 | Tonya Sue Stagner | Nurse Practitioner | 2817 Reilly Road, Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2009-04-13 |
| 1396821849 | Sonya Shaw | Nurse Practitioner | 5-4257 Bastogne Ext, Fort Bragg, NC 28310-0001 | 2006-10-27 |
| 1386657930 | Rebecca Lynn Hilfiker | Nurse Practitioner | 2817 Reilly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-08-14 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on SVETLANA ROMANOVNA MULCAHY.
| 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.