JAN MARIE REDDICK (NPI# 1689880254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689880254 |
| Entity Type | Individual |
| Full Name | JAN MARIE REDDICK |
| Credential | F.N.P. |
| Practice Address |
1801 E Cotati Ave Rohnert Park CA 94928-3613 |
| Practice Telephone | 7076642921 |
| Practice Fax Number | 7076642925 |
| Mailing Telephone | 7076642921 |
| Mailing Fax Number | 7076642925 |
| Enumeration Date | 2007-05-14 |
| 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 |
RN270680 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 E COTATI AVE |
| City | ROHNERT PARK |
| State | CA |
| Zip Code | 94928-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144328550 | Bo Ernest Owens | Specialist | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2006-09-20 |
| 1710411533 | Steven Vernon Winter | Specialist/Technologist | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2017-04-18 |
| 1144689100 | April Seymon | Specialist/Technologist | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2016-02-18 |
| 1760898639 | Joshua Ruiz | Specialist/Technologist | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2014-07-10 |
| 1467865550 | Jennifer Sarah Buescher | Nurse Practitioner | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2014-06-05 |
| 1689092165 | Margot Kathryn Brown | Family Medicine | 1801 E Cotati Ave, Rohnert Park, CA 94928-3609 | 2014-04-02 |
| 1730479569 | Hana Clark | Family Medicine | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2011-04-13 |
| 1023241296 | Patricia G. Mcbride | Registered Nurse | 1801 E Cotati Ave, Sonoma State University, Rohnert Park, CA 94928-3613 | 2009-09-03 |
| 1316105273 | Gail Harriet Kramer | Nurse Practitioner | 1801 E Cotati Ave, Student Health Center, Rohnert Park, CA 94928 | 2008-05-28 |
| 1548455413 | Dara Lynn Hayden | Counselor | 1801 E Cotati Ave, Sonoma State University Caps Department, Rohnert Park, CA 94928-3613 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
| 1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
| 1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
| 1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
| 1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
| 1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
| 1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
| 1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
| Find all providers in zip 94928 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962617019 | Donna Lamke | Nurse Practitioner | 1370 Medical Center Dr Ste E, Rohnert Park, CA 94928-2934 | 2007-05-11 |
| 1205982071 | Sandra Lynn Jay | Nurse Practitioner | 1450 Medical Center Drive, Suite 3, Rohnert Park, CA 94928 | 2007-01-26 |
| 1477541985 | Laura E. Rodriguez | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2005-10-10 |
| 1386013274 | Megan H Rehder | Nurse Practitioner | 5900 State Farm Dr Fl 2, Rohnert Park, CA 94928 | 2015-09-21 |
| 1467865550 | Jennifer Sarah Buescher | Nurse Practitioner | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2014-06-05 |
| 1134334675 | Cynthia Sue Renfrew | Nurse Practitioner | 1801 E Cotati Ave, Sonoma State University Student Health Center, Rohnert Park, CA 94928-3613 | 2007-05-10 |
| 1548374028 | Candace M. Ray | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-19 |
| 1881708881 | Susan B. Shea | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-18 |
| 1376657544 | Patricia L. Rozenoff | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ROHNERT PARK |
| Zip Code | 94928 |
Please comment or provide details below to improve the information on JAN MARIE REDDICK.
| 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.