MRS. PATTI JO DELLACORT (NPI# 1619250909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619250909 |
| Entity Type | Individual |
| Full Name | MRS. PATTI JO DELLACORT |
| Credential | RN |
| Practice Address |
1445 Bunyan Rd Susanville CA 96130-3201 |
| Practice Telephone | 5302518183 |
| Practice Fax Number | 5302512668 |
| Mailing Telephone | 5302518183 |
| Mailing Fax Number | 5302512668 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 778218 | CA | Nursing Service Providers |
| Street Address |
1445 BUNYAN RD |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982759551 | Richard A. Kanavel | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-01-24 |
| 1346523651 | Christi Shannon Myers | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2011-09-22 |
| 1619273646 | Sherria Sue Pohl | Registered Nurse | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3201 | 2011-02-09 |
| 1306083928 | Lassen County | Community/Behavioral Health | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3201 | 2009-01-20 |
| 1093969628 | Sarah Jennifer North | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2008-11-10 |
| 1629274725 | Cheryl Lynn Damm | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-06-25 |
| 1194927830 | Jenny R Lemmon | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-06-04 |
| 1093853798 | Lassen County Public Health Department | Public Health or Welfare | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-02-02 |
| 1790821049 | Joanna Mae Zimmermann | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-01-30 |
| 1629114483 | Marilyn Grace Baker | Licensed Vocational Nurse | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3142 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982759551 | Richard A. Kanavel | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-01-24 |
| 1043844947 | Kellie L Arnold | Registered Nurse | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2020-02-28 |
| 1164951448 | Steve Tank | Registered Nurse | 555 Hospital Lane, Susanville, CA 96130 | 2017-06-08 |
| 1437688710 | Jessica Jones | Registered Nurse | 555 Hospital Lane, Susanville, CA 96130 | 2017-06-08 |
| 1578836359 | Sarah M Cottrell | Registered Nurse | 555 Hospital Ln, Susanville, CA 96130-4808 | 2012-02-09 |
| 1346523651 | Christi Shannon Myers | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2011-09-22 |
| 1619273646 | Sherria Sue Pohl | Registered Nurse | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3201 | 2011-02-09 |
| 1093969628 | Sarah Jennifer North | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2008-11-10 |
| 1962680710 | Rachelle Marie Surian | Registered Nurse | 1445 Paul Bunyan Rd, Susanville, CA 96130 | 2008-02-04 |
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|---|---|---|---|---|
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| 1972104990 | Joseph Chua | Registered Nurse | 11350 River Knoll Dr, Riverside, CA 92505-5148 | 2020-11-05 |
| 1578164604 | Thuy Tho Le | Registered Nurse | 683 Veranda Cir, Hayward, CA 94541-6539 | 2020-11-04 |
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1942801162 | Eric Longenecker | Registered Nurse | 2727 Honeysuckle Way, Sacramento, CA 95826-3118 | 2020-11-04 |
| 1245831536 | Denise Zaremba | Registered Nurse | 303 E. Vanderbilt Way, Suite 300, San Bernardino, CA 92415-0026 | 2020-11-04 |
| 1700486396 | Royke Rantung | Registered Nurse | 22431 Terrace Pines Dr Apt D, Grand Terrace, CA 92313-5059 | 2020-10-31 |
| 1134729957 | Sara Jensen | Registered Nurse | 5715 Baltimore Dr Unit 139, La Mesa, CA 91942-4247 | 2020-10-30 |
| 1376143065 | Darya Shmidt | Registered Nurse | 3205 Los Feliz Blvd Apt 13-207, Los Angeles, CA 90039-1518 | 2020-10-30 |
| 1588264360 | Jocelyn Julia Ho | Registered Nurse | 795 Burnett Ave Apt 8, San Francisco, CA 94131-1418 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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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.