MR. FRANKLIN DEWAYNE TUTTLE JR. (NPI# 1275838831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275838831 |
| Entity Type | Individual |
| Full Name | MR. FRANKLIN DEWAYNE TUTTLE JR. |
| Practice Address |
991 Parallel Dr Lakeport CA 95453-5720 |
| Mailing Address |
435 Washo Dr Ukiah CA 95482-5136 |
| Practice Telephone | 7072634338 |
| Practice Fax Number | 7072631507 |
| Mailing Telephone | 7076211416 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892528 | Franklin Ennis Tuttle | Dentist | Cmr 442, Heidelberg Dental Activity Credentials Office, Apo Ae, NY 09042 | 2006-04-25 |
| Street Address |
991 PARALLEL DR |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018987 | Brock Ford Travis | Psychologist | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2006-12-12 |
| 1588029466 | Randall Cole | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2015-12-21 |
| 1932477346 | Robert A Montgomery | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-12-13 |
| 1427356443 | Thomas Leon Brown | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-03-01 |
| 1922304526 | Mary Lou Floyd | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-31 |
| 1740585819 | Jason Krishna Pofi | Licensed Vocational Nurse | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2011-01-20 |
| 1336380955 | Carolina Rondas Pimenta | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2009-03-11 |
| 1689822991 | Mari Ellen Scholvinck | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-08-29 |
| 1427225119 | Lisa M Bermudez | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-05-12 |
| 1134399868 | Monnie Marie Smevold | Counselor | 991 Parallel Dr, Lakeport, CA 95453-5720 | 2008-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801178843 | Faranak Fara Izadi | Counselor | 55 1st St # 314, Lakeport, CA 95453-4839 | 2011-09-15 |
| 1306084124 | Gail P Dyne | Counselor | 149 N Main St Ste 200, Lakeport, CA 95453-4846 | 2009-02-02 |
| 1346449618 | David Sean Brody | Counselor | 255 N Forbes St, Lakeport, CA 95453-4759 | 2007-07-16 |
| 1326173048 | Brenda Kearby | Counselor | 1156 South Main St., Lakeport, CA 95453 | 2007-02-22 |
| 1235288358 | Helen Kate Mcallister | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2007-01-09 |
| 1104432509 | Jaleen White | Counselor | 160 S Main St, Lakeport, CA 95453-5017 | 2020-09-21 |
| 1932660347 | Ebony Denise Coleman | Counselor | 255 N Forbes St, Lakeport, CA 95453-4759 | 2019-03-28 |
| 1265953996 | Thonyoon Chao | Counselor | 160 S Main St, Lakeport, CA 95453-5017 | 2017-07-03 |
| 1679027437 | Lynn Farmer | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-08-10 |
| 1649680257 | Lara Withop | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2014-05-05 |
| Find all providers in LAKEPORT | ||||
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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.