JENIFER J TANTARELLI (NPI# 1972767739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972767739 |
| Entity Type | Individual |
| Full Name | JENIFER J TANTARELLI |
| Credential | FNP |
| Practice Address |
1154 Montgomery Dr Santa Rosa CA 95405-4816 |
| Mailing Address |
2649 Leslie Rd Santa Rosa CA 95404-9607 |
| Practice Telephone | 7075474611 |
| Practice Fax Number | 7075221202 |
| Mailing Telephone | 7072937750 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
NP 17620 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1154 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599283 | Anudeep Bawa | Clinical Nurse Specialist | 11180 Warner Ave Ste 165, Heart Center of Orange County, Fountain Valley, CA 92708-7515 | 2016-10-16 |
| 1720536840 | Arezou Crose | Clinical Nurse Specialist | 3978 Silver Lace Ln, Redding, CA 96001-6303 | 2016-09-19 |
| 1104286459 | Yesol Hong | Clinical Nurse Specialist | 17822 Beach Blvd Ste 473, Huntington Beach, CA 92647-7520 | 2016-02-29 |
| 1982074159 | Tracey Schaper | Clinical Nurse Specialist | 297 Mission Grove Pkwy N, Riverside, CA 92506-6246 | 2015-10-01 |
| 1205216025 | Ramona Waldman | Clinical Nurse Specialist | 28000 Poppy Dr, Willits, CA 95490-9068 | 2015-06-06 |
| 1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
| 1700282654 | Osher Resources Inc | Clinical Nurse Specialist | 419 E Cypress Ave, Unit C, Burbank, CA 91501-3253 | 2014-11-05 |
| 1285058727 | Dominic Legaspi Pisigan | Clinical Nurse Specialist | 565 Charmingdale Rd, Diamond Bar, CA 91765-2131 | 2014-02-04 |
| 1700207388 | Luis Servano Teoxon | Clinical Nurse Specialist | 11750 Sterling Ave Ste C, Riverside, CA 92503 | 2013-12-26 |
| 1326307885 | Holly Marie Filter | Clinical Nurse Specialist | 330 H St Ste A, Marysville, CA 95901-5820 | 2012-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on JENIFER J TANTARELLI.
| 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.