AMELIA UNDERWOOD I (NPI# 1083065395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083065395 |
| Entity Type | Individual |
| Full Name | AMELIA UNDERWOOD I |
| Credential | RD, CDE, PA-C |
| Practice Address |
591 Mccray St Ste 231 Hollister CA 95023-2224 |
| Practice Telephone | 8314442289 |
| Mailing Telephone | 8314442289 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 363A00000X | Physician Assistant | 53421 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT | 53421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415906 | Amelia Davis Hurst Underwood | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-09 |
| 1922031368 | Amelia Elizabeth Underwood | Internal Medicine | Va Medical Ctr, 500 Foothill Dr., Salt Lake City, UT 84148-0001 | 2006-07-09 |
| Street Address |
591 MCCRAY ST STE 231 |
| City | HOLLISTER |
| State | CA |
| Zip Code | 95023-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905535 | Vincent Matthew Howard | Registered Nurse | 3086 Palomino Way, Hollister, CA 95023 | 2020-06-08 |
| 1013430388 | Anita Mora | Counselor | 1850 San Benito St., Hollister, CA 95023 | 2017-07-19 |
| 1720517121 | Brendon Taguinod | Specialist/Technologist | 430 Union Heights, Hollister, CA 95023 | 2017-06-08 |
| 1629417670 | Dina Nicole Casparro | Podiatrist | 581 Mccray St Ste F, Hollister, CA 95023 | 2013-06-21 |
| 1881032944 | Ichhya Pathak-paudel | Dentist | 1210, 106 East Park St, Ste 106, Hollister, CA 95023 | 2013-06-11 |
| 1528363579 | Andrea Stone | Massage Therapist | 339 Seventh St, C, Hollister, CA 95023 | 2011-01-24 |
| 1427203165 | Beray Mirella Castillo | Case Manager/Care Coordinator | 351 Felice Drive, Hollistere, CA 95023 | 2008-11-21 |
| 1073669552 | Wennifred S Hsu Dds Inc | Dentist | 1760 Airline Highway, Suite G, Hollister, CA 95023 | 2007-01-26 |
| 1740349141 | Robert Francis Barry Jr. | Acupuncturist | 330 Tres Pinos Rd, Suite B25, Hollister, CA 95023 | 2006-12-08 |
| 1962501635 | Mohammad Aslam Barra | Obstetrics & Gynecology | 930 Sunnyslope Rd E 1, Hollister, CA 95023 | 2006-09-21 |
| Find all providers in zip 95023 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779109 | Olivia Hoang-oanh Tran | Physician Assistant | 991 4th St, Hollister, CA 95023-3643 | 2018-02-09 |
| 1821211749 | Roger Paul Langford | Physician Assistant | 930 Sunset Dr Ste 3, Hollister, CA 95023-5620 | 2007-04-10 |
| 1013099753 | Jaidesh Reddick | Physician Assistant | 551 Mccray St, Hollister, CA 95023-4090 | 2006-10-20 |
| 1588770192 | Maria L. Saucedo-arreola | Physician Assistant | 390 7th St, Hollister, CA 95023-3820 | 2006-08-23 |
| 1962920488 | Sean Juno Yu | Physician Assistant | 204 Evans Rd, Hollister, NC 27844-9247 | 2017-09-05 |
| 1932569357 | Oskar Lizarraga-davis | Physician Assistant | 911 Sunset Dr, Hollister, CA 95023-5606 | 2016-02-26 |
| 1609284645 | Christopher Perry | Physician Assistant | 911 Sunset Dr, Hollister, CA 95023-5606 | 2014-07-22 |
| 1134465826 | Kari Suzanne Light | Physician Assistant | 204 Evans Rd, Hollister, NC 27844-9247 | 2012-12-27 |
| 1336453455 | Nicole Ann Shelton | Physician Assistant | 930 Sunnyslope Rd Ste E3, Hollister, CA 95023-5638 | 2010-07-30 |
| 1497956262 | Lori A Kraus | Physician Assistant | 911 Sunset Dr, Hollister, CA 95023-5606 | 2007-05-30 |
| Find all providers in HOLLISTER | ||||
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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.