JULIE STACKHOUSE (NPI# 1447275268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447275268 |
| Entity Type | Individual |
| Full Name | JULIE STACKHOUSE |
| Other Name | JULIE HOADLEY |
| Credential | PA |
| Practice Address |
1528 Eureka Rd Ste 103 Roseville CA 95661-3047 |
| Practice Telephone | 9167725325 |
| Mailing Telephone | 9167725325 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
16221 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MH0758891 | 01 |
| CA | PHYSICIAN ASSISTANT | 16221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942352802 | Julie R. Stackhouse | Nurse Practitioner | 2414 E State Blvd, Suite 101, Fort Wayne, IN 46805-4760 | 2007-01-18 |
| Street Address |
1528 EUREKA RD STE 103 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418630 | Moola Prabhakar Reddy | Physical Medicine & Rehabilitation | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2005-06-28 |
| 1487297099 | Poonam Rai | Physician Assistant | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2019-10-26 |
| 1396139721 | Stephanie Gump | Massage Therapist | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2015-03-24 |
| 1144628504 | Spine & Nerve Diagnostic Center | Electrodiagnostic Medicine | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2014-12-16 |
| 1003227760 | Morgan O'connor | Physical Medicine & Rehabilitation | 1528 Eureka Rd Ste 103, Roseville, CA 95661 | 2014-05-15 |
| 1932415304 | Patricia Mccarthy | Registered Nurse | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2010-08-24 |
| 1609892660 | Karen Darlene Cain | Physician Assistant | 1528 Eureka Rd Ste 103, Roseville, CA 95661-3047 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152763 | Joshua Lewis Cavaness | Physician Assistant | 2 Medical Plaza Dr Ste 255, Roseville, CA 95661-3050 | 2014-12-02 |
| 1619277712 | Anjali K Wilkerson | Physician Assistant | 576 N. Sunrise Ave, Ste. 220, Roseville, CA 95661 | 2010-10-24 |
| 1043305733 | Dorothy Ann Zamborsky | Physician Assistant | 851 Pleasant Grove Blvd Ste 110, Roseville, CA 95678-6176 | 2006-10-04 |
| 1285665620 | Julie Marie Gebhardt | Physician Assistant | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2006-07-05 |
| 1396790358 | Shannon Rae Sgro | Physician Assistant | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2006-05-24 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1366899437 | Chloe Ferrar | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-05-18 |
| 1811354244 | Natalie Hope Pautsch | Physician Assistant | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2016-01-14 |
| 1609269927 | Abby Stretch | Physician Assistant | 4010 Foothills Blvd Ste 102, Roseville, CA 95747-7241 | 2015-03-11 |
| 1629460670 | Matthew Luther Case | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2015-02-27 |
| Find all providers in ROSEVILLE | ||||
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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.