JANET A NUNNALLY (NPI# 1619067469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619067469 |
| Entity Type | Individual |
| Full Name | JANET A NUNNALLY |
| Credential | N.P. |
| Practice Address |
400 Professional Center Dr Suite 424 Novato CA 94947-4367 |
| Mailing Address |
300 Professional Center Dr Suite 311 Novato CA 94947-4334 |
| Practice Telephone | 4154481555 |
| Practice Fax Number | 4158928732 |
| Mailing Telephone | 4154481555 |
| Mailing Fax Number | 4158928732 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14229 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 PROFESSIONAL CENTER DR SUITE 424 |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788107 | Marin Community Clinic | Clinic/Center | 400 Professional Center Dr, Ste 424, Novato, CA 94947-4368 | 2005-05-31 |
| 1578905345 | Fiona Anne Marion | Pediatrics | 400 Professional Center Dr, Novato, CA 94947 | 2013-07-22 |
| 1972642098 | Gail Altschuler | Family Medicine | 400 Professional Center Dr, Suite 411, Novato, CA 94947-4367 | 2007-02-05 |
| 1396827861 | Sandra P. Levy | Nurse Practitioner | 400 Professional Center Dr, Suite 424, Novato, CA 94947-4367 | 2006-10-20 |
| 1881787786 | Jessica Catherine Hollman | Pediatrics | 400 Professional Center Dr, Suite 424, Novato, CA 94947-4367 | 2006-10-02 |
| 1851483705 | Axel W Hoke | Dermatology | 400 Professional Center Dr, #414, Novato, CA 94947 | 2006-09-29 |
| 1780776039 | Tracey Michelle Hessel | Pediatrics | 400 Professional Center Dr, Suite 424, Novato, CA 94947-4367 | 2006-09-28 |
| 1558461103 | Erik Paul Schten | Internal Medicine | 400 Professional Center Dr, Suite 424, Novato, CA 94947-4367 | 2006-09-24 |
| 1619976339 | Laura Jeanne Collins | Internal Medicine | 400 Professional Center Dr, Suite 424, Novato, CA 94947-4367 | 2005-07-14 |
| 1053318824 | Stephen Lewis Dalton | Dermatology | 400 Professional Center Dr, Suite 414, Novato, CA 94947-4367 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1548620578 | Jessica Behnam Hicks | Nurse Practitioner | 30 Gertrude Ln, Novato, CA 94947-2812 | 2016-03-03 |
| 1083095566 | Kelli Elizabeth Rugani | Nurse Practitioner | 790 Tamalpais Ave, Novato, CA 94947-3940 | 2015-06-10 |
| 1457565814 | Mary Ellen Wilkosz | Nurse Practitioner | 165 Rowland Way #105, Novato, CA 94945 | 2007-05-09 |
| 1417456351 | Phyllis Crisostomo Carroll | Nurse Practitioner | 6100 Redwood Blvd, Novato, CA 94945-4501 | 2018-02-06 |
| 1700329687 | Kathryn Walker | Nurse Practitioner | 165 Rowland Way, Novato, CA 94945-5038 | 2016-11-28 |
| 1093917122 | Valerie C Ridgeway | Nurse Practitioner | 165 Rowland Way, Suite 311, Novato, CA 94945-5038 | 2007-06-01 |
| 1114148293 | Jennifer Shaw-chin Liu | Nurse Practitioner | 165 Rowland Way, Suite 215, Novato, CA 94945-5038 | 2007-05-02 |
| 1336229707 | Elizabeth Reed | Nurse Practitioner | 165 Rowland Way, Suite 215, Novato, CA 94945 | 2006-10-17 |
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|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.