JEANNETTE MARIAN MUTCH TEESDALE


Address: 1531 Esplanade, Chico, CA 95926-3310
Phone: 5303327300

JEANNETTE MARIAN MUTCH TEESDALE (NPI# 1336785096) 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) 1336785096
Entity Type Individual
Full Name JEANNETTE MARIAN MUTCH TEESDALE
Other Name JEANNETTE MARIAN MUTCH
Practice Address 1531 Esplanade
Chico
CA 95926-3310
Mailing Address 390 Rio Lindo Ave Apt 26
Chico
CA 95926-1934
Practice Telephone 5303327300
Mailing Telephone 5305154132
Enumeration Date 2019-11-18
Last Update Date 2020-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA57667 CA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1531 ESPLANADE
City CHICO
State CA
Zip Code 95926-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982696571 Edgar Otto Vyhmeister Orthopaedic Surgery 1531 Esplanade, Chico, CA 95926-3310 2005-08-19
1174120836 Alexandra Lynn Watts Nurse Practitioner 1531 Esplanade, Chico, CA 95926-3310 2020-10-06
1205480639 Shannon Marie Haller-baker Physician Assistant 1531 Esplanade, Chico, CA 95926-3310 2019-07-24
1386297331 Andrew Adam Lee Clinical Nurse Specialist 1531 Esplanade, Chico, CA 95926-3310 2019-07-18
1710539333 Elizabeth Joanne Seaman Nurse Practitioner 1531 Esplanade, Chico, CA 95926-3310 2019-07-13
1265094684 Patricia Carol Paddock Nurse Practitioner 1531 Esplanade, Chico, CA 95926-3310 2019-07-05
1518439553 Kelsey Lynn Micone Nurse Practitioner 1531 Esplanade, Chico, CA 95926-3310 2018-12-31
1417448838 Richelle Candace Wildey Physician Assistant 1531 Esplanade, Chico, CA 95926-3310 2018-05-21
1972022465 Amber Rose Keenan Nurse Practitioner 1531 Esplanade, Chico, CA 95926 2017-09-15
1003287608 Amy Micheli Nurse Practitioner 1531 Esplanade, Chico, CA 95926-3310 2015-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104332576 Asheley Dawn Kimble Registered Nurse 592 Lindo Ave, Chico, CA 95926 2017-12-21
1275050635 Wa Meng Vang Counselor 560 Cohasset Rd #180, Chico, CA 95926 2017-08-26
1922538677 Lisa Ann Milardovich Physical Medicine & Rehabilitation 1576 Hawthorne Ave, Chico, CA 95926 2017-06-15
1205364700 Andrew Vercellino Chiropractor 1281 East Ave #100, Chico, CA 95926 2017-05-26
1205389095 Michele Lando Social Worker 572 Rio Lindo Ave Ste 108, Chico, CA 95926 2016-07-27
1215397864 Joseph Boone Wills IIi Marriage & Family Therapist 6 Governors Ln Ste C, Chico, CA 95926 2016-02-24
1356723001 Erica White Counselor 109 Parmac Road, Suite 1, Chico, CA 95926 2015-06-18
1902285208 Genuine Dbt Licensed Clinical Social Worker Inc Psychologist 1140 Mangrove Ave Ste D, Chico, CA 95926 2015-05-20
1255724324 Linda K Zimbelman Nurse Practitioner 1645 Esplanade #1, Chico, CA 95926 2015-03-12
1366851040 Jose Mendoza Counselor 590 Rio Lindo Avenue, Chico, CA 95926 2014-08-07
Find all providers in zip 95926

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275046526 Ryan Elizabeth Prendergast Physician Assistant 1720 Esplanade Fl 2, Chico, CA 95926-3315 2017-11-08
1356643621 Joshua Ismael Calderon Physician Assistant 1531 Esplanade # 72, Chico, CA 95926-3310 2010-11-18
1902092786 Cynthia Maureen Hale Physician Assistant 145 Mission Ranch Blvd., Suite 110, Chico, CA 95926 2007-09-14
1851470868 Christopher John Buckley Physician Assistant 2581 California Park Dr, Apt. 284, Chico, CA 95928-4012 2006-11-02
1255430658 Francis Anthony Croal Physician Assistant 1354 East Ave Ste R, Chico, CA 95926-7383 2006-09-22
1578514493 Renee G Christenson Physician Assistant 251 Cohasset Rd Ste 240, Chico, CA 95926-2235 2006-05-15
1316904428 Loren Glen Ott Physician Assistant 1600 Esplanade, Suite C, Chico, CA 95926-3369 2006-05-01
1023006715 William A Sprotte Physician Assistant 277 Cohasset Dr., Chico, CA 95926 2005-10-07
1134731268 Imelda Miranda Mata Physician Assistant 80 Declaration Dr, Chico, CA 95973-4900 2020-08-19
1396381463 Caitlin Collins Physician Assistant 2 Governors Ln, Chico, CA 95926-6300 2019-11-22
Find all providers in CHICO

Competitor

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City CHICO
Zip Code 95926

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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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