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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
358283 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10470 OLD PLACERVILLE RD SUITE 100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95827-2539 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
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 |
Find all providers in zip 95827 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95827 |
Please comment or provide details below to improve the information on ELIZABETH CAROLYN RADSLIFF.
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.