ERICA UDALL (NPI# 1952969792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952969792 |
| Entity Type | Individual |
| Full Name | ERICA UDALL |
| Credential | FNP-C |
| Practice Address |
3300 Webster St Ste 1200 Oakland CA 94609-3126 |
| Mailing Address |
871 54th St Oakland CA 94608-3238 |
| Practice Telephone | 5102275540 |
| Mailing Telephone | 4135888944 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95010809 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95010809 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 WEBSTER ST STE 1200 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548590433 | Audrey Yoshiko Muto | Nurse Practitioner | 3300 Webster St Ste 1200, Oakland, CA 94609-3126 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1629540927 | Cadian Nursing Corporation | Nurse Practitioner | 505 14th St Ste 900, Oakland, CA 94612-1468 | 2018-12-26 |
| 1598393746 | Kelly J Stein | Nurse Practitioner | 251 N 4th St, Oakland, MD 21550-1375 | 2020-03-31 |
| 1265915425 | Ronald Joseph Faigao Jacolbia | Nurse Practitioner | 818 Webster St, Oakland, CA 94607-4220 | 2018-09-12 |
| 1376038828 | Jeannette Soto | Nurse Practitioner | 1030 International Blvd, Oakland, CA 94606-3730 | 2018-06-27 |
| 1801224217 | Lauren Enteen | Nurse Practitioner | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2013-10-22 |
| 1316246770 | Angelique B. Taylor | Nurse Practitioner | 819 Foothill Blvd, Oakland, CA 94606-3011 | 2011-03-23 |
| 1720305600 | Robyn Sera | Nurse Practitioner | 10700 Macarthur Blvd, Suite 14b, Oakland, CA 94605-5298 | 2010-04-30 |
| 1154656064 | Barbara Dean White-jones | Nurse Practitioner | 700 Adeline St, Oakland, CA 94607 | 2009-10-09 |
| 1134368772 | Meg Moser | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2009-02-05 |
| Find all providers in OAKLAND | ||||
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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.