ELIZABETH CAROLYN RADSLIFF


Address: 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539
Phone: 8004700071

ELIZABETH CAROLYN RADSLIFF (NPI# 1689659468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689659468
Entity Type Individual
Full Name ELIZABETH CAROLYN RADSLIFF
Credential PNP
Practice Address 10470 Old Placerville Rd
Suite 100
Sacramento
CA 95827-2539
Mailing Address 8170 Laguna Blvd
Suite 210
Elk Grove
CA 95758-7901
Practice Telephone 8004700071
Mailing Telephone 9166915999
Enumeration Date 2005-12-14
Last Update Date 2016-01-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
358283 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10470 OLD PLACERVILLE RD
SUITE 100
City SACRAMENTO
State CA
Zip Code 95827-2539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578558896 Gail A Russell Obstetrics & Gynecology 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2005-09-13
1588907976 Alicia Reinhart Speech-Language Pathologist 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2013-04-03
1306163613 Teresa Ortiz Physical Therapist 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2010-04-26
1295972685 Sandra D Schmeck Nurse Practitioner 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2009-01-07
1417149220 Kristin Maureen Brown Pediatrics 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2007-08-15
1467508382 Johann Milian Peterson Pediatrics 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2007-01-25
1184788101 Barton Bryant Taylor Physician Assistant 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2006-12-21
1609938117 Petra Krupp Physician Assistant 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2006-12-14
1558318857 Steven John Vilter Family Medicine 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2006-05-30
1285612598 Robert Francis Bajorin Physical Therapist 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 2006-01-06
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Providers in the same zip code

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1164078598 Theresa Marie Reich Home Health Aide 9819 Lebra Avenue, Sacramento, CA 95827 2019-08-12
1790257475 Elissa Beth Crandall Counselor 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 2018-12-19
1649746900 Christopher Avery Di Domenico Counselor North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 2018-10-15
1285156661 Keith Ramon Blakely Counselor 9738 Lincoln Village, Sacramento, CA 95827 2017-07-07
1376065755 Julianne Marlene Divirgilio Counselor 9738 Lincoln Village Dr., Sacramento, CA 95827 2017-07-07
1275981409 Carl Phillips Jr. Counselor 2819 Pepper Oaks Dr, Sacramento, CA 95827 2016-05-27
1316335581 Nancy Khun Counselor 3990 Branch Center Rd., Sacramento, CA 95827 2014-12-22
1750623385 Davidshka Lynel Shavers Counselor 3340 Viking Dr, Suite 114, Sacramento, CA 95827 2013-03-21
1114263803 John Kwamena Bankas Marriage & Family Therapist 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 2012-12-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346615739 Renee Joyce Eckley Reinhardt Nurse Practitioner 4100 E Commerce Way Suite 100, Sacramento, CA 95834 2015-12-10
1598005779 Stefani Romo Danch Nurse Practitioner 1625 Stockton Blvd. #112, Sacramento, CA 95816-3228 2013-02-25
1720393101 Hannah Choi Nurse Practitioner 5609 J St Ste C, Sacramento, CA 95819-3957 2010-08-10
1952560641 Teresa Christine Rodriguez-wargo Nurse Practitioner 5271 F St Bldg C, Sacramento, CA 95819-3225 2008-06-06
1174799464 Deborah Ann Davidson Woods Nurse Practitioner 2279 45th St Ste 1246, Sacramento, CA 95817-1514 2008-05-06
1053473694 Ceily Tracey Davis Nurse Practitioner 7275 E Southgate Dr Ste 306, Sacramento, CA 95823-2631 2006-12-13
1588635775 Susan Lynne Caffery Nurse Practitioner 1625 Stockton Blvd, Suite 104, Sacramento, CA 95816-7053 2006-01-27
1205811536 Janet E Pitcher Nurse Practitioner 4860 Y St Ste 100, Child Neurology, Sacramento, CA 95817-2307 2005-12-09
1962010793 Alexandria Doyle Nurse Practitioner 2825 Capitol Ave, Attn Nursing Administration, Sacramento, CA 95816 2020-07-17
1891340360 Crystal S Deng Nurse Practitioner 1500 21st St, Sacramento, CA 95811-5216 2019-08-01
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Competitor

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City SACRAMENTO
Zip Code 95827

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Dataset Information

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.

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