JASON WILLOUGHBY (NPI# 1023440963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023440963 |
Entity Type | Individual |
Full Name | JASON WILLOUGHBY |
Practice Address |
2236 Mulberry Ln Placerville CA 95667 |
Mailing Address |
2236 Mulberry Ln Placerville CA 95667-7783 |
Practice Telephone | 5303916929 |
Mailing Telephone | 5303916929 |
Enumeration Date | 2013-08-02 |
Last Update Date | 2013-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497740583 | Jason Alexander Willoughby | Occupational Therapist | 151 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-1889 | 2005-09-14 |
1124453204 | Jason Keith Willoughby | Nurse Practitioner | 927 Medical Center Dr, Bessemer, AL 35022-6081 | 2013-09-09 |
1811202443 | Jason Cyril Willoughby | Psychologist | 11059 E. Bethany Drive, Ste 200, Aurora, CO 80014-9811 | 2010-08-06 |
Street Address |
2236 MULBERRY LN |
City | PLACERVILLE |
State | CA |
Zip Code | 95667 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
Find all providers in zip 95667 |
Taxonomy Code | 2472E0500X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
Specialization | EEG |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878503 | Anne Edano | Technician, Other | 1105 Wesley Ave, Pasadena, CA 91104-3158 | 2019-12-18 |
1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
1275931438 | Mynd Analytics, Inc. | Technician, Other | 25201 Paseo De Alicia Ste 145, Laguna Hills, CA 92653-4612 | 2014-12-19 |
1962808030 | James Hong | Technician, Other | 705 E Borchard Ave, Santa Ana, CA 92707-1917 | 2014-11-17 |
1194167759 | Derek Swanier | Technician, Other | 14709 S Budlong Ave Apt 309, Gardena, CA 90247-3063 | 2013-07-24 |
1588900757 | Charlene Simpson | Technician, Other | 32430 Pacific Coast Hwy, Malibu, CA 90265-2531 | 2012-12-17 |
1386998862 | Noel Lopez Sr. | Technician, Other | 1117 Huntington Dr, Modesto, CA 95350-3457 | 2012-11-05 |
1023616935 | Gabriel J Hernandez | Technician, Other | 1600 E Belle Ter, Bakersfield, CA 93307-3871 | 2020-10-13 |
1942840186 | Brittany Frank | Technician, Other | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2020-01-15 |
1013419480 | Michaella Chua | Technician, Other | 1999 Harrison St Ste 1800, Oakland, CA 94612-4700 | 2018-03-01 |
Find all providers with the same taxonomy |
City | PLACERVILLE |
Zip Code | 95667 |
Please comment or provide details below to improve the information on JASON WILLOUGHBY.
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.