ERICK N WAHOME (NPI# 1700306743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700306743 |
| Entity Type | Individual |
| Full Name | ERICK N WAHOME |
| Credential | RN/MSN |
| Practice Address |
6991 N State St Redwood Valley CA 95470-9629 |
| Mailing Address |
Po Box 387 Calpella CA 95418-0387 |
| Practice Telephone | 7074675622 |
| Practice Fax Number | 7074675650 |
| Mailing Telephone | 7074675622 |
| Mailing Fax Number | 7074675650 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
95090786 | CA | Nursing Service Providers |
| Street Address |
6991 N STATE ST |
| City | REDWOOD VALLEY |
| State | CA |
| Zip Code | 95470-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982676698 | Amy Louise Redmer | Family Medicine | 6991 N State St, Redwood Valley, CA 95470-9629 | 2006-02-06 |
| 1881114676 | Jerie Lynn Williams | Nurse Practitioner | 6991 N State St, Redwood Valley, CA 95470-9629 | 2017-06-22 |
| 1811312721 | Marissa Gonzalez James | Nurse Practitioner | 6991 N State St, Redwood Valley, CA 95470-9629 | 2014-02-28 |
| 1386073930 | Andrea Culbertson | Dietitian, Registered | 6991 N State St, Redwood Valley, CA 95470-9629 | 2013-11-04 |
| 1346547049 | Tanya O Estrada-ruiz | Massage Therapist | 6991 N State St, Redwood Valley, CA 95470-9629 | 2011-02-16 |
| 1457682858 | Margaret B Bregger | Dietitian, Registered | 6991 N State St, Redwood Valley, CA 95470-9629 | 2010-01-25 |
| 1346575511 | Rachel Chavez | Physician Assistant | 6991 N State St, Redwood Valley, CA 95470-9629 | 2009-10-06 |
| 1487895223 | Stephenie Dawn Dickie | Dentist | 6991 N State St, Redwood Valley, CA 95470-9629 | 2009-03-06 |
| 1861678740 | Debbie J Swayze | Counselor | 6991 N State St, Redwood Valley, CA 95470-9629 | 2008-01-10 |
| 1659499499 | Susan M. Knopf | Social Worker | 6991 N State St, Redwood Valley, CA 95470-9629 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792783 | Salina Benitez | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2016-11-16 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1104459585 | Kara-faye Ingram | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2020-02-13 |
| 1104457266 | Dominique Serna-heal | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-28 |
| 1598395287 | Stephanie Campos | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-22 |
| 1003452566 | Salina Perales | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1023654464 | Jasmine Quilter | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-20 |
| 1871139360 | Eliyah Smith | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1821633421 | Zobeyda Bojorquez | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-07 |
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Find all providers in zip 95470 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190803 | Ma Adelver Quinitio Martin | Registered Nurse | 5912 Lomond Dr, San Diego, CA 92120-4541 | 2020-09-23 |
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD VALLEY |
| Zip Code | 95470 |
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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.