JANET HENDRICKSON (NPI# 1295082584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295082584 |
| Entity Type | Individual |
| Full Name | JANET HENDRICKSON |
| Credential | PA |
| Practice Address |
2051 John Jones Rd Davis CA 95616 |
| Mailing Address |
Po Box 1260 Davis CA 95617-1260 |
| Practice Telephone | 5307533498 |
| Mailing Telephone | 5307533498 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 22444 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 22990 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 22444 | 01 |
| Street Address |
2051 JOHN JONES RD |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366823 | Communicare Health Centers | Clinic/Center | 2051 John Jones Rd, Davis, CA 95616-9701 | 2005-06-14 |
| 1093314601 | Gloria Aimee Gonzalez | Advanced Practice Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2020-10-23 |
| 1861028011 | Anne Elizabeth Seiler | Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2020-03-19 |
| 1841835766 | Michaela Marie Lambert | Nurse Practitioner | 2051 John Jones Rd, Davis, CA 95616-9701 | 2019-11-14 |
| 1467918680 | Jane Riccobono | Nurse Practitioner | 2051 John Jones Rd, Davis, CA 95616-9701 | 2019-02-12 |
| 1427557131 | Meghann Crane-russ | Social Worker | 2051 John Jones Rd, Davis, CA 95616-9701 | 2018-02-08 |
| 1447763867 | Rachel Ely | Advanced Practice Midwife | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-11-07 |
| 1316475247 | Monica Yeo | Dentist | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-05-23 |
| 1831624410 | Isha Kaur Mayall | Student in an Organized Health Care Education/Training Program | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-04-20 |
| 1760914642 | Ian Kim | Family Medicine | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649768086 | Sara Tanner Terashima | Nurse Practitioner | 4647 2nd St Ste 130, Davis, CA 95618-9419 | 2018-04-30 |
| 1205128857 | Yasmine Arastu Jones | Nurse Practitioner | 2030 Sutter Pl Ste 1000, Davis, CA 95616-6215 | 2011-05-13 |
| 1265972319 | Shawna Marie Perlman | Nurse Practitioner | 2051 John Jones Rd, Davis, CA 95616-9701 | 2017-03-07 |
| 1235462086 | Susan B Gillespie | Nurse Practitioner | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2009-09-11 |
| 1497846422 | Lynn M Schimmel | Nurse Practitioner | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-27 |
| 1821198722 | Melinda A Mossar | Nurse Practitioner | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-22 |
| 1982703450 | Lisa Yamauchi | Nurse Practitioner | 1 Shields Ave, Davis, CA 95616-5270 | 2006-09-21 |
| 1144329731 | Laura Leslie Green | Nurse Practitioner | 2030 Sutter Pl, Davis, CA 95616-6212 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
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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.