SAMANTHA ANN MISSLBECK (NPI# 1962966689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962966689 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANN MISSLBECK |
| Credential | RN |
| Practice Address |
2450 Ashby Ave Berkeley CA 94705-2067 |
| Mailing Address |
6214 Florio St Unit 1 Oakland CA 94618-1352 |
| Practice Telephone | 5102044444 |
| Mailing Telephone | 2099185337 |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 95055615 | CA | Nursing Service Providers |
| Street Address |
2450 ASHBY AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447369 | Henry Hinchung Tan | Internal Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2005-06-16 |
| 1154940286 | Kassandra Marie Donnels | Advanced Practice Midwife | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-04-09 |
| 1881221646 | Stephanie Miller | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2020-03-23 |
| 1851898837 | Obianauju Vivian Ogu | Registered Nurse | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2018-04-06 |
| 1033649579 | Robert Michael Roth | Emergency Medicine | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2017-06-18 |
| 1306294962 | Anh Dang | General Acute Care Hospital | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-05-24 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1316312648 | Zain Daniel Bartlett Morin | Pharmacist | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2015-12-11 |
| 1841663804 | Ilana Rose Pearlman | Advanced Practice Midwife | 2450 Ashby Ave, Rm. 3040, Berkeley, CA 94705-2067 | 2015-11-12 |
| 1417351131 | Qinshi Pan | Obstetrics & Gynecology | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2014-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
| 1174146328 | Antonio Villanueva | Registered Nurse | 935 Bancroft Way, Berkeley, CA 94710-2334 | 2020-05-22 |
| 1609427434 | Evan Cope | Registered Nurse | 281 Alvarado Rd, Berkeley, CA 94705-1512 | 2019-09-23 |
| 1699333401 | Alison Mittelberger | Registered Nurse | 2905 Dwight Way, Berkeley, CA 94704-2514 | 2019-06-05 |
| 1689239113 | Monica Garcia | Registered Nurse | University Health Services 2222 Bancroft Way Mc4300, Berkeley, CA 94720-0001 | 2019-05-09 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1639504962 | Rebecca Elaine Wahlgren | Registered Nurse | 7547 Claremont Ave, Berkeley, CA 94705-1432 | 2013-09-05 |
| 1174965750 | Saylom Swensen | Registered Nurse | 668 Arlington Ave, Berkeley, CA 94707-1642 | 2013-07-23 |
| 1861734303 | Erin Bures | Registered Nurse | 1204 Neilson St, Berkeley, CA 94706-2436 | 2013-03-22 |
| Find all providers in BERKELEY | ||||
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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.