JULIE POTRYKUS (NPI# 1255815403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255815403 |
| Entity Type | Individual |
| Full Name | JULIE POTRYKUS |
| Practice Address |
744 Empire St Ste 160 Fairfield CA 94533-5562 |
| Mailing Address |
2730 Shadelands Dr Bldg 10 Walnut Creek CA 94598-2538 |
| Practice Telephone | 7073999413 |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
744 EMPIRE ST STE 160 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851413496 | Autumn Marie Deal | Behavioral Analyst | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2007-04-04 |
| 1386278364 | Maya Murry-pena | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-02-27 |
| 1457984734 | Vanessa Angel | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-02-14 |
| 1104456540 | Britnee Vanburen | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-24 |
| 1578193215 | Lena Vidana | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-22 |
| 1255961140 | Cristina Correa | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-21 |
| 1336789981 | Marisela Noemi Naranjo | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-12 |
| 1952940181 | Christine Kelly | Specialist | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2020-01-06 |
| 1497393672 | Darmesha Mooring | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2019-12-18 |
| 1720622749 | Micela Simpliciano-medina | Behavior Technician | 744 Empire St Ste 160, Fairfield, CA 94533-5562 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1477180511 | Ciara Hanna | Specialist | 3247 Congressional Cir, Fairfield, CA 94534-7869 | 2020-03-26 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1932594777 | Donna Alves | Specialist | 27 Green Knolls Ln, Fairfield, CT 06824-3509 | 2015-03-30 |
| 1619399847 | Nora Macias | Specialist | 617 Stonehenge Ct, Fairfield, CA 94534-4088 | 2014-01-07 |
| 1043582679 | Diane Michelle Dolch | Specialist | 1095 Magie Ave, Fairfield, OH 45014-1852 | 2012-01-27 |
| 1710262209 | Nicole Dunay Calloway | Specialist | 510 Reef Rd, Fairfield, CT 06824 | 2011-10-15 |
| 1073840096 | Christine Fisher | Specialist | 1891 Woolner Ave, Suite G, Fairfield, CA 94533-5868 | 2009-11-11 |
| 1407008634 | Tristan Bowley Dalisay | Specialist | 3175 Olympic Rd, Fairfield, CA 94534-8327 | 2008-10-21 |
| 1801085188 | Miami Valley Surgical Associates Inc. | Specialist | 1251 Nilles Rd Ste 17, Fairfield, OH 45014-7205 | 2007-10-23 |
| 1992901912 | Gilda C Richardson | Specialist | 740 Nilles Rd, Fairfield, OH 45014-3606 | 2007-06-26 |
| Find all providers in FAIRFIELD | ||||
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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.