MS. CONSTANCE RUTH WYLIE (NPI# 1376630814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376630814 |
| Entity Type | Individual |
| Full Name | MS. CONSTANCE RUTH WYLIE |
| Other Name | MS. CONNIE RUTH WYLIE |
| Practice Address |
1315 Alhambra Blvd Ste 210 Sacramento CA 95816-5246 |
| Mailing Address |
21300 Bald Ridge Dr Penn Valley CA 95946-9402 |
| Practice Telephone | 9167324380 |
| Mailing Telephone | 5303049606 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
404474 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1315 ALHAMBRA BLVD STE 210 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003267196 | Sutter Bay Medical Foundation | Clinic/Center | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2016-06-29 |
| 1548480015 | Daniel Leo Hoody | Nurse Practitioner | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2007-04-26 |
| 1134259054 | Richard Boggs | Physician Assistant | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942525753 | Edward Joseph Boes | Nurse Practitioner | 2703 Rockaway Ln, Sacramento, CA 95835-2132 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275977498 | George Lopez Chua | Nurse Practitioner | 121 N Beaudry Avenue, Nursing Services, Roybal Annex, Los Angeles, CA 90012-2009 | 2013-04-18 |
| 1639466832 | Jayne Ann Mas | Nurse Practitioner | 1 Lmu Drive Ms 8455, Los Angeles, CA 90045-2659 | 2011-07-08 |
| 1093948580 | Lori Jean Urbanec | Nurse Practitioner | 1430 San Julian St Bldg 2, Los Angeles, CA 90015-3142 | 2009-08-31 |
| 1003063819 | Sherry Hefner Medrano | Nurse Practitioner | 456 S Mathews St, Los Angeles, CA 90033-4326 | 2008-08-22 |
| 1225244734 | Jane Summer | Nurse Practitioner | 1980 Allston Way # H104, Berkeley, CA 94704-1463 | 2007-05-15 |
| 1891824462 | Lila Crutchfield | Nurse Practitioner | 1980 Allston Way Bldg H Rm 105, Berkeley, CA 94704-1463 | 2007-03-02 |
| 1659397412 | Sally Ilene Bratton | Nurse Practitioner | 43600 Mission Blvd # 16, Fremont, CA 94539-5847 | 2006-07-14 |
| 1215914577 | Jocelyn Lotho | Nurse Practitioner | 1430 San Julian St # 2, Los Angeles School District, Los Angeles, CA 90015-3142 | 2005-12-28 |
| 1750942587 | Mary Alanna Conrad | Nurse Practitioner | 500 El Camino Real, Santa Clara, CA 95050-4345 | 2019-06-24 |
| 1235519802 | Kirandeep Gill | Nurse Practitioner | 10331 Stanford Ave, Garden Grove, CA 92840-6351 | 2015-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.