MRS. STACY REESE BISCHOFF (NPI# 1356387229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356387229 |
Entity Type | Individual |
Full Name | MRS. STACY REESE BISCHOFF |
Credential | RN, NP |
Practice Address |
5 Bon Air Rd Blgd. D, Suite 219 Larkspur CA 94939-1136 |
Mailing Address |
5 Bon Air Rd Blgd. D Suite219 Larkspur CA 94939-1143 |
Practice Telephone | 4152333406 |
Practice Fax Number | 4159241770 |
Mailing Telephone | 4152333406 |
Mailing Fax Number | 4159241770 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2015-10-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
201967 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5 BON AIR RD BLGD. D, SUITE 219 |
City | LARKSPUR |
State | CA |
Zip Code | 94939-1136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679562649 | Karen Nugent | Specialist | 5 Bon Air Rd, Suite A105, Larkspur, CA 94939-1143 | 2005-10-20 |
1316473903 | Neurology Health Center, Incorporated | Psychiatry & Neurology | 5 Bon Air Rd, Building D, Suite 219, Larkspur, CA 94939-1143 | 2017-05-03 |
1760852503 | Marin Womens Health | Obstetrics & Gynecology | 5 Bon Air Rd, Bld D, Suite 219, Larkspur, CA 94939-1136 | 2015-10-06 |
1033512330 | John Eugene Conte Jr. | Internal Medicine | 5 Bon Air Rd, Larkspur, CA 94939-1143 | 2014-09-30 |
1477974483 | Nicholas Verville | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2013-12-17 |
1790106714 | Lindsey Kuroda | Physical Therapist | 5 Bon Air Rd, Suite A105, Larkspur, CA 94939-1143 | 2013-12-17 |
1770927204 | Stewart Lin | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2013-04-26 |
1851636617 | Anne White | Acupuncturist | 5 Bon Air Rd, Ste. 221, Larkspur, CA 94939-1143 | 2012-12-05 |
1558615963 | Laura Winner | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2012-11-07 |
1396026399 | Prima Medical Foundation | Surgery | 5 Bon Air Rd, #117, Larkspur, CA 94939-1143 | 2011-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
Find all providers in zip 94939 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023228871 | Linda Lou Goldberg | Nurse Practitioner | 5 Bon Air Rd, Suite 117, Larkspur, CA 94939-1143 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
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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.