MS. MICHELLE ELAINE WEDDLE (NPI# 1548575699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548575699 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ELAINE WEDDLE |
| Credential | FNP |
| Practice Address |
1145 Sturgis Street Naval Hospital Twentynine Palms Twentynine Palms CA 92278-8250 |
| Mailing Address |
6582 Ivanpah Ave Twentynine Palms CA 92277-6556 |
| Practice Telephone | 7608302190 |
| Mailing Telephone | 7576204798 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372888 | Michelle Lynn Weddle | Behavioral Analyst | 719 12th St, Kamiah, ID 83536-5325 | 2019-08-19 |
| Street Address |
1145 STURGIS STREET NAVAL HOSPITAL TWENTYNINE PALMS |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92278-8250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789794 | Maria T Sheldrake | Optometrist | 1145 Sturgis Street, Naval Hospital, Twentynine Palms, CA 92278-8250 | 2006-02-17 |
| 1821342791 | Shelley Denise Holmes | Pharmacist | 1145 Sturgis Street, Robert Bush Naval Hospital, Pharmacy Department, Twentynine Palms, CA 92278-8250 | 2012-10-31 |
| 1700054350 | Darryl Bien Sol | Nurse Practitioner | 1145 Sturgis Street, Twentynine Palms, CA 92278-8250 | 2008-02-18 |
| 1932259769 | David Michael Viayra | Physician Assistant | 1145 Sturgis Street, Naval Hospital Attn Proffesional Affairs Bldg, Twentynine Palms, CA 92278-8250 | 2007-01-12 |
| 1790835742 | Felizardo Bacaro Tria | Military Health Care Provider | 1145 Sturgis Street, Naval Hospital, Twentynine Palms, CA 92278-8250 | 2007-01-11 |
| 1962550657 | Raoul Archambault Iv | Pharmacist | 1145 Sturgis Street, Naval Hospital (attn Professional Affairs), Twentynine Palms, CA 92278-8250 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
| 1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
| 1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
| 1497184188 | Blake Lyman | Physician Assistant | 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 | 2013-11-04 |
| 1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
| 1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
| 1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
| Find all providers in zip 92278 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184774689 | Paul I Harris | Military Health Care Provider | Naval Hospital Attn Professional Affairs, Bldg 1145 Sturgis Street, Twentynine Palms, CA 92278-8250 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1629692389 | Christopher Matey | Military Health Care Provider | 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 | 2020-05-29 |
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1124647680 | Katherine Koliadko | Military Health Care Provider | 11023 Evans St, Loma Linda, CA 92354-2708 | 2020-04-14 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1588292858 | Korina Erin Sandoval | Military Health Care Provider | Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-31 |
| 1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
| 1891336541 | Prana Hands Nonprofit | Military Health Care Provider | 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 | 2019-10-03 |
| 1578124194 | David M Allen | Military Health Care Provider | 1st Mlg, Bldg 150121, Camp Pendleton, CA 92055 | 2019-06-25 |
| 1992366587 | Darion Pegues | Military Health Care Provider | 3530 Kelsey St, San Diego, CA 92124-3516 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92278 |
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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.