MS. ANNE C RETALLICK (NPI# 1144315730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144315730 |
| Entity Type | Individual |
| Full Name | MS. ANNE C RETALLICK |
| Other Name | MS. ANNE C STOCK |
| Credential | FNP |
| Practice Address |
1 Madrone St Frank Howard Memorial Hospital Willits CA 95490-4225 |
| Mailing Address |
422 South Barnes Street Ukiah CA 95482 |
| Practice Telephone | 7074596801 |
| Mailing Telephone | 7074625861 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
358288 10493 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN NP FURNISHING | 10493 | 01 |
| Street Address |
1 MADRONE ST FRANK HOWARD MEMORIAL HOSPITAL |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065717 | Mary Ethel Farkas | Dietitian, Registered | 1 Madrone St, Willits, CA 95490-4225 | 2005-12-29 |
| 1730511486 | Henrietta A Simonsson | Registered Nurse | 1 Madrone St, Willits, CA 95490-4225 | 2013-08-05 |
| 1073899878 | Nhu Tran | Nurse Practitioner | 1 Madrone St, Willits, CA 95490-4225 | 2011-10-25 |
| 1861653131 | Julie Ann Moyers | Radiology | 1 Madrone St, Willits, CA 95490-4225 | 2008-06-19 |
| 1396913653 | Cynthia Mae Whitaker | Speech-Language Pathologist | 1 Madrone St, Willits, CA 95490-4225 | 2008-02-20 |
| 1811179336 | Nancy B. Horowitz Moilanen | Speech-Language Pathologist | 1 Madrone St, Willits, CA 95490-4225 | 2007-11-27 |
| 1902018955 | Cindy W. Bodensteiner | Registered Nurse | 1 Madrone St, Willits, CA 95490-4225 | 2007-05-03 |
| 1629120860 | Andrea Louise Braverman | Dietitian, Registered | 1 Madrone St, Willits, CA 95490-4225 | 2007-01-17 |
| 1508948100 | Bradley Patrick | Nurse Anesthetist, Certified Registered | 1 Madrone St, Willits, CA 95490-4225 | 2006-10-20 |
| 1467466482 | Jonathan E Travis | Radiology | 1 Madrone St, Willits, CA 95490-4225 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
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| 1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
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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.