IVY DEAP


Address: 750 Las Gallinas Ave, San Rafael, CA 94903-3438
Phone: 4159251822

IVY DEAP (NPI# 1538784251) 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) 1538784251
Entity Type Individual
Full Name IVY DEAP
Practice Address 750 Las Gallinas Ave
San Rafael
CA 94903-3438
Mailing Address 2501 Cottontail Ln
Somerset
NJ 08873-5125
Practice Telephone 4159251822
Enumeration Date 2020-06-09
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 237700000X Hearing Instrument Specialist Speech, Language and Hearing Service Providers

Office Location

Street Address 750 LAS GALLINAS AVE
City SAN RAFAEL
State CA
Zip Code 94903-3438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063416311 Michael Gerald Dab Dentist 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 2005-06-01
1447556402 Theresa Kamler Massage Therapist 750 Las Gallinas Ave, Suite 202, San Rafael, CA 94903-3438 2011-02-08
1952607657 Mark Drucker, D.p.m., A Professional Corporation Podiatrist 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 2011-01-28
1548492549 Alan Brenner Kimelman Md Inc Physical Medicine & Rehabilitation 750 Las Gallinas Ave, San Rafael, CA 94903-3438 2009-08-10
1124252416 Sutter West Bay Medical Foundation Family Medicine 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 2009-05-14
1912146382 Laura Wahpepah Nurse Practitioner 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 2009-02-09
1780857318 Joseph H Greenberg Ltd A Medical Corp Specialist 750 Las Gallinas Ave, Suite 205, San Rafael, CA 94903-3438 2008-04-03
1881874709 Bonnie Lynn Nickel Ophthalmology 750 Las Gallinas Ave, Suite 114, San Rafael, CA 94903-3438 2007-11-08
1821213109 Melissa Emily Rinck Dentist 750 Las Gallinas Ave, Suite 215, San Rafael, CA 94903-3438 2007-04-13
1780715060 Catherine Jean Cox Dentist 750 Las Gallinas Ave, Suite 217, San Rafael, CA 94903-3438 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396199139 Christopher Charles Brignetti Hearing Instrument Specialist 750 Las Gallinas Ave Ste 103, San Rafael, CA 94903-3431 2016-04-18
1851517098 Hearing Services of Marin Hearing Instrument Specialist 2400 Las Gallinas Ave, Suite 150, San Rafael, CA 94903-1447 2007-04-17
1285776005 Clifford Francis Pearson Hearing Instrument Specialist 2400 Las Gallinas Ave Ste 150, San Rafael, CA 94903-1449 2007-02-12
1548773880 Lauren Keifer Hearing Instrument Specialist 750 Las Gallinas Ave Ste 103, San Rafael, CA 94903-3431 2017-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740889518 Jeremy Dane Baker Hearing Instrument Specialist 1413-b Bailey Dr., Hanford, CA 93230 2020-10-22
1366041345 Jonathan Edward Urey Hearing Instrument Specialist 4006 S Demaree St., Visalia, CA 93277 2020-10-21
1497368450 Edwin Van Capelle Hearing Instrument Specialist 15758 La Forge St, Whittier, CA 90603-2334 2020-08-28
1538779830 Elizabeth Guadalupe Barragan Hearing Instrument Specialist 1101 W Tokay St Ste 4, Lodi, CA 95240-3842 2020-08-03
1306474366 Andy Zavala Hearing Instrument Specialist 450 Fourth Ave Ste 300, Chula Vista, CA 91910-4429 2020-03-27
1518594266 Trinity Hearing Aid, Inc Hearing Instrument Specialist 16575 Brookhurst St, Fountain Valley, CA 92708-2337 2020-03-24
1891321964 Barry Nabors Hearing Instrument Specialist 3395 S Bascom Ave Ste 100, Campbell, CA 95008-6770 2020-03-20
1720613169 Sabrina Ko Hearing Instrument Specialist 2895 Loma Vista Rd Ste D, Ventura, CA 93003-1527 2020-03-05
1891329553 Christina Marie Garcia Hearing Instrument Specialist 1079 Eucalyptus St Ste B, Manteca, CA 95337-4317 2020-03-02
1174157812 Peter Paul Vidal Hearing Instrument Specialist 2031 W Alameda Ave Ste 340, Burbank, CA 91506-2960 2020-03-02
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Competitor

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City SAN RAFAEL
Zip Code 94903

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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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