JANINE MICHELE PETRICK (NPI# 1154452845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154452845 |
Entity Type | Individual |
Full Name | JANINE MICHELE PETRICK |
Credential | R.N. |
Practice Address |
929 Spring St Placerville CA 95667-4543 |
Mailing Address |
941 Spring St Ste 4 Placerville CA 95667-4546 |
Practice Telephone | 5306421842 |
Mailing Telephone | 5306216184 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
464316 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
929 SPRING ST |
City | PLACERVILLE |
State | CA |
Zip Code | 95667-4543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
1275151706 | Don Ray Snider | Counselor | 929 Spring St, Placerville, CA 95667-4543 | 2020-07-10 |
1548881634 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2020-04-30 |
1790238293 | Garth Goudelock | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2016-08-01 |
1861851818 | Raquel Cote | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2016-02-18 |
1649666322 | Charlene Meneely | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2015-04-09 |
1548668866 | Elizabeth Cox | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2014-12-18 |
1346647989 | Jennifer Nava | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2014-11-25 |
1922404904 | Bethany Joy Taylor | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2014-11-18 |
1942627260 | Vanessa Dellinger | Case Management | 929 Spring St, Placerville, CA 95667-4543 | 2014-03-25 |
Find all providers in the same location |
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 | 364SC1501X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Community Health/Public Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043344450 | Valerie Lee Bellnap | Clinical Nurse Specialist | 561 Canal St, Placerville, CA 95667-4312 | 2007-03-15 |
1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
1447373261 | Michael Ungeheuer | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-04-08 |
1548381874 | Nina Varner Deatherage | Clinical Nurse Specialist | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-03 |
1770613291 | Dee Cern Taylor | Clinical Nurse Specialist | 929 Spring St, El Dorado Co. Public Health Dept., Placerville, CA 95667-4543 | 2007-03-06 |
1710021456 | Melissa Williams | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-16 |
1750424933 | Sandy Stokes | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-15 |
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1609335181 | Zinnia Community Care Clinic | Clinical Nurse Specialist | 2917 W Vernon Ave, Los Angeles, CA 90008-4714 | 2019-03-14 |
1467794453 | Katie Greene | Clinical Nurse Specialist | 2751 Tropicana Dr, Riverside, CA 92504-4277 | 2013-03-18 |
1780978379 | Andre Mitch Michaud | Clinical Nurse Specialist | 4215 26th St, San Francisco, CA 94131-1836 | 2011-06-01 |
1245467380 | Alice Y Wong | Clinical Nurse Specialist | 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 | 2009-06-16 |
1871620369 | Patricia Jane Murphy | Clinical Nurse Specialist | 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 | 2007-02-28 |
1538296330 | Linda D Cromwell | Clinical Nurse Specialist | 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 | 2007-02-27 |
1477697985 | Cindy Slotterback Gaffney | Clinical Nurse Specialist | 950 Sevier Rd, Cool, CA 95614-9439 | 2007-02-16 |
1275000143 | Liberty Thi Awa | Clinical Nurse Specialist | 367 N Magnolia Ave, El Cajon, CA 92020-3995 | 2018-10-30 |
1437509981 | Siddarth Varun Arya | Clinical Nurse Specialist | 405 W 5th St, Santa Ana, CA 92701-4599 | 2016-06-15 |
1255598447 | Theresa Park | Clinical Nurse Specialist | 415 E Chapel St, Santa Maria, CA 93454-4517 | 2008-05-16 |
Find all providers with the same taxonomy |
City | PLACERVILLE |
Zip Code | 95667 |
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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.