JENNIFER TAKAGI


Address: 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295
Phone: 6192006457

JENNIFER TAKAGI (NPI# 1437549235) 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) 1437549235
Entity Type Individual
Full Name JENNIFER TAKAGI
Credential NP
Practice Address 1803 Aspen Leaf Ln
Santa Rosa
CA 95401-4295
Mailing Address 1381 University St
Healdsburg
CA 95448-3314
Practice Telephone 6192006457
Practice Fax Number 7073852148
Mailing Telephone 7074335494
Mailing Fax Number 7073852151
Enumeration Date 2015-01-31
Last Update Date 2018-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95000680 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1803 ASPEN LEAF LN
City SANTA ROSA
State CA
Zip Code 95401-4295

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1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
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1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780160234 Susan English Knowles Nurse Practitioner 3383 Airway Dr, Santa Rosa, CA 95403-2005 2018-07-18
1912498726 Lydia Ann Smith Nurse Practitioner 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 2018-05-29
1659870186 Shannon Cross Todd Nurse Practitioner 4729a Hoen Ave, Santa Rosa, CA 95405-7862 2018-02-11
1093222408 Mary Esther Andich Nurse Practitioner 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 2018-01-08
1316473697 Renee Novakovich Nurse Practitioner 704 Adobe Dr, Santa Rosa, CA 95404-2706 2017-05-05
1780139634 Robin Shank Sanderson Nurse Practitioner 751 Lombardi, Santa Rosa, CA 95407 2016-08-22
1164828828 Danielle J Daye Nurse Practitioner 50 Montgomery Dr, Santa Rosa, CA 95404-6615 2014-11-07
1609208354 Derrick Pelton Nurse Practitioner 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 2013-08-05
1225313869 Kristine Monson Brown Nurse Practitioner 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 2011-10-14
1689975153 Lydia Dominguez Nurse Practitioner Highway 107 & La Feria Ave., Santa Rosa, TX 78593 2010-11-15
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Competitor

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City SANTA ROSA
Zip Code 95401

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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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