ELIZABETH BLIEDEN (NPI# 1669957684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669957684 |
| Entity Type | Individual |
| Full Name | ELIZABETH BLIEDEN |
| Practice Address |
2712 Telegraph Ave # B Berkeley CA 94705-1117 |
| Mailing Address |
901 S 45th St Richmond CA 94804-4414 |
| Practice Telephone | 5105488283 |
| Mailing Telephone | 3039079338 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERN | 390200000X | 01 |
| Street Address |
2712 TELEGRAPH AVE # B |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
| 1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
| 1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
| 1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
| 1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
| 1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
| 1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1477057560 | Nathan Cooper Butler | Student in an Organized Health Care Education/Training Program | 98 The Uplands, Berkeley, CA 94705-2815 | 2018-03-22 |
| Find all providers in BERKELEY | ||||
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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.