MS. MAYA GRACE NICHOLLS (NPI# 1356601033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356601033 |
Entity Type | Individual |
Full Name | MS. MAYA GRACE NICHOLLS |
Credential | CMT |
Practice Address |
405 D St Suite 1 Petaluma CA 94952-3006 |
Practice Telephone | 4153421345 |
Mailing Telephone | 4153421345 |
Enumeration Date | 2012-05-29 |
Last Update Date | 2012-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
405 D ST SUITE 1 |
City | PETALUMA |
State | CA |
Zip Code | 94952-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619977154 | Molly Hogan | Nurse Practitioner | 405 D St, Suite #1, Petaluma, CA 94952-3006 | 2005-07-27 |
1891961082 | Friedman Chiropractic Inc | Chiropractor | 405 D St, Suite 2, Petaluma, CA 94952-3006 | 2008-05-07 |
1912115221 | Judith Kay Parker | Chiropractor | 405 D St, Suite 2, Petaluma, CA 94952-3006 | 2007-05-18 |
1699898684 | Ian Robert Rawlinson | Acupuncturist | 405 D St, Suite 1, Petaluma, CA 94952-3006 | 2007-04-06 |
1952424947 | Cynthia Cator Rawlinson | Acupuncturist | 405 D St, Suite 1, Petaluma, CA 94952-3006 | 2007-04-06 |
1558486787 | Wendy Smith | Massage Therapist | 405 D St, Suite #3, Petaluma, CA 94952-2607 | 2007-03-20 |
1992889547 | Sara Thyr | Naturopath | 405 D St, Suite1, Petaluma, CA 94952-3006 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
Find all providers in zip 94952 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780101568 | Asp Providers Group of California, PC | Specialist | 1350 Barlas Ln, Petaluma, CA 94952-1280 | 2017-08-23 |
1285096008 | Sean Hardcaslte | Specialist | 1120 Industrial Ave, Suite 13 & 14, Petaluma, CA 94952-6503 | 2016-03-22 |
1538559018 | Summit Pain Alliance Inc | Specialist | 157 Lynch Creek Way, Petaluma, CA 94954-2342 | 2015-02-04 |
1497921258 | Francesca Fasano | Specialist | 127 4th St, Petaluma, CA 94952-3005 | 2008-05-01 |
1649480039 | Amanda C. Wongsonegoro | Specialist | 35 Petaluma Blvd N, Petaluma, CA 94952-3001 | 2007-05-23 |
1053359984 | Roy S Musick | Specialist | 517 Lincoln Ln, Petaluma, CA 94954-3831 | 2006-06-03 |
1710980321 | Lance B Barlas | Specialist | 167 Lynch Creek Way, Petaluma, CA 94954-2343 | 2005-05-27 |
1134777006 | Elizabeth Pak | Specialist | 1670 Corporate Cir Ste 100, Petaluma, CA 94954-6947 | 2019-09-03 |
1841765666 | Alice Fitzwater | Specialist | 1670 Corporate Cir Ste 100, Petaluma, CA 94954 | 2018-10-08 |
1710338744 | Kayla Sibbaluca | Specialist | 201 Fair St, Petaluma, CA 94952-2516 | 2016-06-30 |
Find all providers in PETALUMA |
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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.