STACEY E. PICKERING


Address: 365 Lennon Ln, Suite 250, Walnut Creek, CA 94598-5910
Phone: 9259326330

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 3066398-00 05

Office Location

Street Address 365 LENNON LN
SUITE 250
City WALNUT CREEK
State CA
Zip Code 94598-5910

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

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.

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