MRS. JEANNOT LEE CARLSON (NPI# 1104036474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036474 |
| Entity Type | Individual |
| Full Name | MRS. JEANNOT LEE CARLSON |
| Credential | FNP |
| Practice Address |
599 Sir Francis Drake Blvd Ste 202 Suite 117 Greenbrae CA 94904-1731 |
| Practice Telephone | 4154611149 |
| Practice Fax Number | 4159251156 |
| Mailing Telephone | 4154611149 |
| Mailing Fax Number | 4159251156 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209664 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
599 SIR FRANCIS DRAKE BLVD STE 202 SUITE 117 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560997 | Nona Cunningham | Obstetrics & Gynecology | 599 Sir Francis Drake Blvd Ste 202, Greenbrae, CA 94904-1731 | 2005-12-29 |
| 1407174709 | Richard H. Printz, M.d.,ph.d. Inc | Specialist | 599 Sir Francis Drake Blvd Ste 202, Greenbrae, CA 94904-1731 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564624 | Signy Marie Toquinto | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1784 | 2019-02-18 |
| 1154552818 | Mary Elizabeth Safrit | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
| Find all providers with the same taxonomy | ||||
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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.