STACEY E. PICKERING (NPI# 1265429518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265429518 |
Entity Type | Individual |
Full Name | STACEY E. PICKERING |
Credential | ARNP |
Practice Address |
365 Lennon Ln Suite 250 Walnut Creek CA 94598-5910 |
Practice Telephone | 9259326330 |
Practice Fax Number | 9259320139 |
Mailing Telephone | 9259326330 |
Mailing Fax Number | 9259320139 |
Enumeration Date | 2005-10-03 |
Last Update Date | 2017-04-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9162428 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 3066398-00 | 05 |
Street Address |
365 LENNON LN SUITE 250 |
City | WALNUT CREEK |
State | CA |
Zip Code | 94598-5910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518363555 | Bay Area Surgical Specialists, Inc | Orthopaedic Surgery | 365 Lennon Ln, Suite, Walnut Creek, CA 94598-5910 | 2014-11-18 |
1457781247 | Napa Management Services, LLC | Surgery | 365 Lennon Ln, Suite 250, Walnut Creek, CA 94598-5910 | 2013-11-15 |
1376856757 | Devin T Callister | Internal Medicine | 365 Lennon Ln, Suite 200, Walnut Creek, CA 94598-5910 | 2010-07-14 |
1669791612 | Jennifer W. Cheng | Internal Medicine | 365 Lennon Ln, Suite 200, Walnut Creek, CA 94598-5915 | 2010-05-28 |
1851546584 | Fresenius Medical Care Diablo Nephrology Clinics LLC | Clinic/Center | 365 Lennon Ln, Suite 160, Walnut Creek, CA 94598-5910 | 2008-11-21 |
1538316336 | D.m. Follette, M.d., Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 365 Lennon Ln, Suite 250, Walnut Creek, CA 94598-5910 | 2008-08-22 |
1194987628 | Mira Lim | Ophthalmology | 365 Lennon Ln, Ste 210, Walnut Creek, CA 94598-5912 | 2008-06-26 |
1063670743 | Terilyn Ann Voegtle | Nurse Practitioner | 365 Lennon Ln, Suite 210, Walnut Creek, CA 94598-5910 | 2008-05-29 |
1881807006 | Joshua David Perlroth | Internal Medicine | 365 Lennon Ln, Suite 200, Walnut Creek, CA 94598-5910 | 2007-05-07 |
1306985932 | Bay Area Colon & Rectal Surgeons | Surgery | 365 Lennon Ln, Suite 290, Walnut Creek, CA 94598-5910 | 2007-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
Find all providers in zip 94598 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538506126 | Lauren Hope Johnson | Nurse Practitioner | 675 Ygnacio Valley Rd Ste 102, Walnut Creek, CA 94596 | 2013-05-23 |
1881932812 | Lynda Joy Moore | Nurse Practitioner | 1655 N Main St, Walnut Creek, CA 94596-4680 | 2013-01-25 |
1720057037 | Gwendolyn Hockin Cashman | Nurse Practitioner | 130 La Casa Via # 2-208, Walnut Creek, CA 94598-3045 | 2006-03-17 |
1396245064 | Kimberly Dionne Oja | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-02-19 |
1932533452 | Vivian Hanna Park | Nurse Practitioner | 500 Lennon Ln, Walnut Creek, CA 94598-2415 | 2013-09-03 |
1982936068 | Laura M Davis | Nurse Practitioner | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2010-02-01 |
1639314719 | Nancy Elizabeth Cook | Nurse Practitioner | 1656 N California Blvd, Suite 300, Walnut Creek, CA 94596 | 2008-12-03 |
1356591085 | Katherine L Sieu | Nurse Practitioner | 500 Lennon Ln, Walnut Creek, CA 94598-2415 | 2008-09-30 |
1063670743 | Terilyn Ann Voegtle | Nurse Practitioner | 365 Lennon Ln, Suite 210, Walnut Creek, CA 94598-5910 | 2008-05-29 |
1972792950 | Melanie Charles | Nurse Practitioner | 1479 Ygnacio Valley Rd # 150, Walnut Creek, CA 94598 | 2007-10-16 |
Find all providers in WALNUT CREEK |
City | WALNUT CREEK |
Zip Code | 94598 |
Please comment or provide details below to improve the information on STACEY E. PICKERING.
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.