LAUREN ELIZABETH GOLLNICK (NPI# 1992310296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992310296 |
| Entity Type | Individual |
| Full Name | LAUREN ELIZABETH GOLLNICK |
| Credential | OTR/L |
| Practice Address |
5161 Foothills Blvd Roseville CA 95747-6546 |
| Mailing Address |
3095 Vista Way Meadow Vista CA 95722-9544 |
| Practice Telephone | 9165463681 |
| Mailing Telephone | 5305756074 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 19498 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5161 FOOTHILLS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-6546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929941 | Mika Ley Cyrus Pacifico | Occupational Therapist | 1772 Casterbridge Dr, Roseville, CA 95747-4906 | 2020-10-13 |
| 1679030027 | Maria Anna Leah Moncada David | Occupational Therapist | 5024 Stetson St, Roseville, CA 95747-9639 | 2019-02-21 |
| 1649759044 | Edinia Samson Holbrook | Occupational Therapist | 4248 Weathervane Way, Roseville, CA 95747-4213 | 2018-08-07 |
| 1679088264 | Michael Gerszewski | Occupational Therapist | 1835 County Road C W Ste 41, Roseville, MN 55113-1343 | 2017-12-05 |
| 1831563667 | Graham Chandler | Occupational Therapist | 1628 Quail Cir, Roseville, CA 95661-3612 | 2015-11-17 |
| 1386991149 | Elizabeth Mertz | Occupational Therapist | 8056 Bauser Ave, Roseville, CA 95747-5940 | 2012-08-11 |
| 1578818167 | Kristin Springfield | Occupational Therapist | 1680 E Roseville Pkwy Ste 112, Roseville, CA 95661-3988 | 2012-07-19 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| 1104123140 | Monica Soliman Barr | Occupational Therapist | 628 Hanisch Dr, Roseville, CA 95678-1260 | 2011-02-25 |
| 1902138977 | Christina Muth | Occupational Therapist | 1529 Snapdragon Ln, Roseville, CA 95747-7518 | 2010-02-02 |
| Find all providers in ROSEVILLE | ||||
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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.