NICOLE SUDDUTH (NPI# 1013054378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013054378 |
| Entity Type | Individual |
| Full Name | NICOLE SUDDUTH |
| Credential | MD |
| Practice Address |
115 Locust St Santa Cruz CA 95060-3907 |
| Mailing Address |
2350 W El Camino Real 2nd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 8314585670 |
| Mailing Telephone | 7073036424 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A99047 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269380 | Nicole Sudduth | Social Worker | 2071 Antioch Ct, Suite 201a, Oakland, CA 94611-2955 | 2007-05-24 |
| Street Address |
115 LOCUST ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189529 | William Cao | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2006-01-19 |
| 1962985705 | Jilian Valentina O'brien | Marriage & Family Therapist | 115 Locust St, Santa Cruz, CA 95060-3907 | 2018-09-07 |
| 1679883979 | Matthew Gerard Houlahan | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2010-10-20 |
| 1578727152 | Shawna Cara Riddle | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2008-07-14 |
| 1710061262 | Vickie L Winkler | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2006-10-24 |
| 1437261989 | Josee Belanger | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2006-08-31 |
| 1477533701 | Jennifer Schreck | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2006-01-20 |
| 1467432963 | Michelle Massie | Family Medicine | 115 Locust St, Santa Cruz, CA 95060-3907 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629338603 | David Anjelly | Internal Medicine | 1595 Soquel Dr Ste 140, Santa Cruz, CA 95065-1717 | 2012-05-23 |
| 1558656660 | Patrick M. Sullivan | Internal Medicine | 145 Palomino Way, Santa Cruz, CA 95060-1475 | 2011-06-16 |
| 1528245123 | Padmashri Komandur Srinivasa | Internal Medicine | 1595 Soquel Dr Ste 330, Santa Cruz, CA 95065-1722 | 2008-01-25 |
| 1801090022 | James G Telfer Jr Md Pa | Internal Medicine | 18 Josefa Way, Santa Cruz, CA 95060-2984 | 2007-06-12 |
| 1750494571 | Western Medical Associates | Internal Medicine | 1595 Soquel Dr Ste 411, Santa Cruz, CA 95065-1724 | 2006-08-16 |
| 1548278534 | Karl Johsens Md & Drusilla Ldh Lee Md Inc | Internal Medicine | 1595 Soquel Dr Ste 340, Santa Cruz, CA 95065-1722 | 2006-08-04 |
| 1205860954 | Amy D Mcmullen | Internal Medicine | 1669 Dominican Way, Santa Cruz, CA 95065-1523 | 2006-07-10 |
| 1740260280 | Francisco Rhein | Internal Medicine | 1661 Soquel Ave., Suite #d, Santa Cruz, CA 95065-1709 | 2006-01-19 |
| 1982683272 | Michael L Shorenstein | Internal Medicine | 700 Frederick St, Suite 103, Santa Cruz, CA 95062-2239 | 2006-01-13 |
| 1518963982 | James Michael Engelman | Internal Medicine | 1595 Soquel Dr Ste 400, Santa Cruz, CA 95065-1724 | 2005-06-21 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.