STACEY DIANE BREZING (NPI# 1578838355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578838355 |
| Entity Type | Individual |
| Full Name | STACEY DIANE BREZING |
| Other Name | STACEY DIANE STREUBER |
| Credential | M.S., ACSM-RCEP |
| Practice Address |
1 Shields Ave Davis CA 95616-5270 |
| Practice Telephone | 5307529651 |
| Mailing Telephone | 5307529651 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1 SHIELDS AVE |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322903 | Aimee Sisson | Student in an Organized Health Care Education/Training Program | 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 | 2005-11-10 |
| 1811597941 | Anna Pavlov | Registered Nurse | 1 Shields Ave, Davis, CA 95616-5270 | 2020-10-28 |
| 1811548779 | Sarah Schmitt | Dietitian, Registered | 1 Shields Ave, Davis, CA 95616-5270 | 2019-09-23 |
| 1619526373 | Vida Khaliki | Physician Assistant | 1 Shields Ave, Davis, CA 95616-5200 | 2019-09-05 |
| 1912496563 | Lisa Kay Varnum | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5200 | 2018-05-08 |
| 1730682022 | Sean Carrington | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616 | 2018-03-13 |
| 1720502701 | Torie Johnson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2017-08-01 |
| 1073044350 | Uc Davis Student Health and Counseling Services | Clinic/Center | 1 Shields Ave, Shcs, Davis, CA 95616-5270 | 2017-03-27 |
| 1992247092 | Lauren Eichstadt | Pharmacist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-11-07 |
| 1467906222 | Duane Robinson | Specialist | 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072801 | Anthony Ricci | Clinical Exercise Physiologist | 1710 S Amphlett Blvd Ste 101, San Mateo, CA 94402-2704 | 2020-04-24 |
| 1871092080 | Charles Castillo | Clinical Exercise Physiologist | 313 Falcon Dr, Vallejo, CA 94589-3708 | 2018-02-03 |
| 1770092223 | Clarence Matthew Lee | Clinical Exercise Physiologist | 717 Wiget Ln, Walnut Creek, CA 94598-4304 | 2017-09-28 |
| 1164942074 | Christopher Lang Sr. | Clinical Exercise Physiologist | 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 | 2017-06-21 |
| 1497014864 | Myron Lynne Cole | Clinical Exercise Physiologist | 42112 Ringstem Ave, #62c, Lancaster, CA 93536-1209 | 2012-05-04 |
| 1427324813 | Jennifer Helen Laity | Clinical Exercise Physiologist | 14830 Los Gatos Blvd., Suite 101, Los Gatos, CA 95032 | 2012-03-29 |
| 1598032336 | Julia Ellen Stedifor | Clinical Exercise Physiologist | 4429 Northampton Dr, Carmichael, CA 95608-1556 | 2011-11-22 |
| 1841577426 | Mark Wiley Baldis | Clinical Exercise Physiologist | 5275 N Campus Dr, Fresno, CA 93740-0001 | 2011-11-09 |
| 1114202751 | Regula Maria Dhedhi | Clinical Exercise Physiologist | 902 Holiday Ct, Concord, CA 94518-3423 | 2011-10-14 |
| 1033391347 | Richard Zhen Peng | Clinical Exercise Physiologist | 15060 Victory Blvd, Unit 103, Van Nuys, CA 91411-1835 | 2007-11-28 |
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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.