JULIE CROUSE (NPI# 1457988016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457988016 |
| Entity Type | Individual |
| Full Name | JULIE CROUSE |
| Credential | NP |
| Practice Address |
1620 Pennsylvania Ave Ste C Fairfield CA 94533-3509 |
| Mailing Address |
3157 Diablo View Rd Lafayette CA 94549-2202 |
| Practice Telephone | 7074284878 |
| Mailing Telephone | 9252396204 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
358485 | CA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014293 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1620 PENNSYLVANIA AVE STE C |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215061775 | Terrelyn C Fernandez | Physician Assistant | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2007-03-15 |
| 1861006181 | Roy F Smally Jr. | Marriage & Family Therapist | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265930432 | Charlotte R Schneider | Registered Nurse | 585 Riverbend Ct, Fairfield, OH 45014-5627 | 2018-01-23 |
| 1134364433 | Robert Joseph Ruminski | Registered Nurse | 1109 Coulter Ct, Fairfield, CA 94533-8117 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828112 | Julie Hamilton | Registered Nurse | 19065 Chole Rd, Apple Valley, CA 92307-4610 | 2020-10-13 |
| 1316550452 | Amy Lynn Carter | Registered Nurse | 1874 Marlowe St, Thousand Oaks, CA 91360-3331 | 2020-08-28 |
| 1639782501 | Jacqueline Ovsepyan | Registered Nurse | 1628 Glenwood Rd, Glendale, CA 91201-1839 | 2020-08-28 |
| 1265041966 | Rolly Abutal Comia | Registered Nurse | 6963 E Michigan Ave, Fresno, CA 93727-1443 | 2020-07-28 |
| 1336766898 | Carolyn Ashley Eggert | Registered Nurse | 3073 Jaffrey St, Roseville, CA 95747-4291 | 2020-07-01 |
| 1992322424 | Garry Thomas Helgeson | Registered Nurse | 25476 Via Alcira, Valencia, CA 91355-2912 | 2020-07-01 |
| 1992327753 | Brendan R Siebert | Registered Nurse | 1724 Laurel Rd, Oceanside, CA 92054-6150 | 2020-05-14 |
| 1437771680 | Zahra Hamidi | Registered Nurse | 2024 Helen Rd, Pleasant Hill, CA 94523-2714 | 2020-05-11 |
| 1134740715 | Jessica Gall | Registered Nurse | 580 Via Del Caballo, San Marcos, CA 92078-8910 | 2020-05-05 |
| 1881214237 | Kimberly Noche Abido | Registered Nurse | 13540 Brandon Ct, Fontana, CA 92336-3943 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
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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.