COLLETTE MARIE FEARNEYHOUGH


Address: 1625 Stockton Blvd, #106, Sacramento, CA 95816
Phone: 9162629002

COLLETTE MARIE FEARNEYHOUGH (NPI# 1477516763) 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) 1477516763
Entity Type Individual
Full Name COLLETTE MARIE FEARNEYHOUGH
Credential PNP
Practice Address 1625 Stockton Blvd
#106
Sacramento
CA 95816
Mailing Address 10470 Old Placerville Rd
Suite 100
Sacramento
CA 95827-2539
Practice Telephone 9162629002
Practice Fax Number 9162699012
Mailing Telephone 8004700071
Enumeration Date 2006-04-08
Last Update Date 2015-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
NP8810 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1625 STOCKTON BLVD
#106
City SACRAMENTO
State CA
Zip Code 95816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588635775 Susan Lynne Caffery Nurse Practitioner 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816-7053 2006-01-27
1083261846 Jessika R Woodward Physical Therapist 1625 Stockton Blvd, Sacramento, CA 95816-7097 2019-08-26
1639539885 Rianna Jean Buenaobra Ramos Nurse Practitioner 1625 Stockton Blvd, Suite 112, Sacramento, CA 95816-7097 2016-03-01
1952770265 Kasey Ann Pearson Nurse Practitioner 1625 Stockton Blvd, Suite C, Sacramento, CA 95816-7097 2015-09-16
1093151383 Rozalyn Robin Nigro Nurse Practitioner 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816 2013-05-14
1538409099 Rhonda Michele Matsumoto Speech-Language Pathologist 1625 Stockton Blvd, Suite 106, Sacramento, CA 95816-7097 2013-02-20
1437403334 Cynthia D. Alford Social Worker 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816-7097 2012-10-31
1962759811 Emma Joanne Mcintosh Speech-Language Pathologist 1625 Stockton Blvd, Suite 103, Sacramento, CA 95816-7097 2012-08-09
1578831384 Julie Langston Nurse Practitioner 1625 Stockton Blvd, Sacramento, CA 95816-7097 2011-12-07
1003128711 Anne Seton Thompson Speech-Language Pathologist 1625 Stockton Blvd, Suite 103, Sacramento, CA 95816-7098 2010-07-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346615739 Renee Joyce Eckley Reinhardt Nurse Practitioner 4100 E Commerce Way Suite 100, Sacramento, CA 95834 2015-12-10
1598005779 Stefani Romo Danch Nurse Practitioner 1625 Stockton Blvd. #112, Sacramento, CA 95816-3228 2013-02-25
1720393101 Hannah Choi Nurse Practitioner 5609 J St Ste C, Sacramento, CA 95819-3957 2010-08-10
1952560641 Teresa Christine Rodriguez-wargo Nurse Practitioner 5271 F St Bldg C, Sacramento, CA 95819-3225 2008-06-06
1174799464 Deborah Ann Davidson Woods Nurse Practitioner 2279 45th St Ste 1246, Sacramento, CA 95817-1514 2008-05-06
1053473694 Ceily Tracey Davis Nurse Practitioner 7275 E Southgate Dr Ste 306, Sacramento, CA 95823-2631 2006-12-13
1588635775 Susan Lynne Caffery Nurse Practitioner 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816-7053 2006-01-27
1205811536 Janet E Pitcher Nurse Practitioner 4860 Y St Ste 100, Child Neurology, Sacramento, CA 95817-2307 2005-12-09
1962010793 Alexandria Doyle Nurse Practitioner 2825 Capitol Ave, Attn Nursing Administration, Sacramento, CA 95816 2020-07-17
1891340360 Crystal S Deng Nurse Practitioner 1500 21st St, Sacramento, CA 95811-5216 2019-08-01
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Competitor

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City SACRAMENTO
Zip Code 95816

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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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