JULIE ILENE NICHOLSON (NPI# 1538595905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538595905 |
| Entity Type | Individual |
| Full Name | JULIE ILENE NICHOLSON |
| Credential | LMFT |
| Practice Address |
1350 S Eliseo Dr Suite 220 Greenbrae CA 94904-2011 |
| Practice Telephone | 4155038072 |
| Mailing Telephone | 4155038072 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC33481 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896181 | Julie Beth Nicholson | Physical Therapy Assistant | 400 Mcfarland Blvd Ste F, Northport, AL 35476-3371 | 2013-04-01 |
| 1386055705 | Julie Tierney Nicholson | Family Medicine | 619 156th Ave Se, Bellevue, WA 98007-5328 | 2014-05-20 |
| Street Address |
1350 S ELISEO DR SUITE 220 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037500 | John Bettinger | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2005-07-19 |
| 1679127716 | Crystal Ann Brierton | Speech-Language Pathologist | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2019-07-26 |
| 1841705399 | David Fonseca Tapia | Emergency Medical Technician, Basic | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2017-12-06 |
| 1205271483 | Laury Rappaport | Marriage & Family Therapist | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2013-05-01 |
| 1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
| 1801172598 | Melissa Ovalles Tejada | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2011-10-26 |
| 1073892717 | Prima Medical Foundation | Surgery | 1350 S Eliseo Dr, #210, Greenbrae, CA 94904-2011 | 2011-08-11 |
| 1629370499 | Marin Cancer Care, Inc. | Radiology | 1350 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2011 | 2010-11-29 |
| 1376867010 | Christopher Hogan | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2010-03-24 |
| 1346497658 | Kirsten Wilson Ellis | Nurse Practitioner | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903910 | Treasure Newton | Counselor | 250 Bon Air Rd # B, Greenbrae, CA 94904-1702 | 2020-05-11 |
| 1033635958 | Martin Nolasco | Counselor | 40 Corte Real Apt 2, Greenbrae, CA 94904-2129 | 2017-08-22 |
| 1245861772 | Hamaseh Kianfar | Counselor | 250 Bon Air Rd Ste B, Greenbrae, CA 94904-1702 | 2020-02-03 |
| 1699326314 | Hayley Schmidt | Counselor | 250 Bon Air Rd Ste B, Greenbrae, CA 94904-1702 | 2019-09-24 |
| 1245884873 | William Horton IIi | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-07-31 |
| 1316425861 | Laura Benavidez | Counselor | 250 Bon Air Rd, Unit B, First Floor, Greenbrae, CA 94904 | 2018-08-06 |
| 1770095234 | Matthew A Staker | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2017-10-24 |
| 1023546546 | Sarena Napier | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904 | 2017-05-28 |
| 1588102172 | Laurel Mallett | Counselor | 250 Bon Air Rd, Unit B, Greenbrae, CA 94904-1702 | 2017-02-03 |
| 1902280332 | Jenny Vanegas Lacy | Counselor | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2015-07-15 |
| Find all providers in GREENBRAE | ||||
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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.