KIMBERLY J SOMMERHAUG (NPI# 1609037951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609037951 |
| Entity Type | Individual |
| Full Name | KIMBERLY J SOMMERHAUG |
| Credential | NP, MSN |
| Practice Address |
1383 N Mcdowell Blvd Suite 110 Petaluma CA 94954-1187 |
| Mailing Address |
235 Anglers Way Petaluma CA 94952-7646 |
| Practice Telephone | 7077669852 |
| Practice Fax Number | 7077661749 |
| Mailing Telephone | 7077669852 |
| Mailing Fax Number | 7077661749 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2009-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
504269 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1383 N MCDOWELL BLVD SUITE 110 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353555 | Eiler John Sommerhaug | Surgery | 1383 N Mcdowell Blvd, Suite 110, Petaluma, CA 94954-1187 | 2005-11-16 |
| 1124467006 | Northern California Medical Assoc Inc | Ophthalmology | 1383 N Mcdowell Blvd, Ste 100, Petaluma, CA 94954-1190 | 2013-06-24 |
| 1427212919 | North Bay Endoscopy Center LLC | Clinic/Center | 1383 N Mcdowell Blvd, Petaluma, CA 94954-1187 | 2008-07-14 |
| 1801076278 | Stephen Denigris Md Phd | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1187 | 2007-11-13 |
| 1902086374 | Hepatology and Gastroenterology Associates Inc | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110, Petaluma, CA 94954-1190 | 2007-11-13 |
| 1902919004 | Stephen Leo Steady | Internal Medicine | 1383 N Mcdowell Blvd, Ste 110a, Petaluma, CA 94954-1190 | 2006-08-16 |
| 1699888610 | Stephen J Denigris | Internal Medicine | 1383 N Mcdowell Blvd, Ste110, Petaluma, CA 94954-1187 | 2006-08-16 |
| 1437173051 | Kenneth Michael Piters | Anesthesiology | 1383 N Mcdowell Blvd, Petaluma, CA 94954-1187 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1386989630 | Kari Rebekah Cedillo | Nurse Practitioner | 411 N Mcdowell Blvd Ste 10, Petaluma, CA 94954-2339 | 2012-11-27 |
| 1700993334 | Meliea Ann Lane | Nurse Practitioner | 1456 Professional Dr Ste #405, Petaluma, CA 94954 | 2006-08-23 |
| 1275547085 | Julie Anna Bautista | Nurse Practitioner | 411 N Mcdowell Blvd Unit 41, Petaluma, CA 94954-2339 | 2006-07-28 |
| 1033196829 | Barbara L. Schoen | Nurse Practitioner | 599 Tomales Rd., Petaluma, CA 94952 | 2005-12-22 |
| 1942809256 | Rachel Pradarelli | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-10-19 |
| 1518573161 | Cicily Raye Cooper | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-09-18 |
| 1306479381 | Leslie Ann Burger | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2020-02-18 |
| 1124586755 | Gisselle E Suazo | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-03-02 |
| 1770049165 | Angie Davis | Nurse Practitioner | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2019-02-11 |
| Find all providers in PETALUMA | ||||
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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.