HENRIETTA A SIMONSSON (NPI# 1730511486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730511486 |
| Entity Type | Individual |
| Full Name | HENRIETTA A SIMONSSON |
| Credential | RN |
| Practice Address |
1 Madrone St Willits CA 95490-4225 |
| Mailing Address |
6801 Third Gate Rd Willits CA 95490-9566 |
| Practice Telephone | 7074563050 |
| Mailing Telephone | 7074599488 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN 418370 | CA | Nursing Service Providers |
| Street Address |
1 MADRONE ST |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065717 | Mary Ethel Farkas | Dietitian, Registered | 1 Madrone St, Willits, CA 95490-4225 | 2005-12-29 |
| 1073899878 | Nhu Tran | Nurse Practitioner | 1 Madrone St, Willits, CA 95490-4225 | 2011-10-25 |
| 1861653131 | Julie Ann Moyers | Radiology | 1 Madrone St, Willits, CA 95490-4225 | 2008-06-19 |
| 1396913653 | Cynthia Mae Whitaker | Speech-Language Pathologist | 1 Madrone St, Willits, CA 95490-4225 | 2008-02-20 |
| 1811179336 | Nancy B. Horowitz Moilanen | Speech-Language Pathologist | 1 Madrone St, Willits, CA 95490-4225 | 2007-11-27 |
| 1902018955 | Cindy W. Bodensteiner | Registered Nurse | 1 Madrone St, Willits, CA 95490-4225 | 2007-05-03 |
| 1629120860 | Andrea Louise Braverman | Dietitian, Registered | 1 Madrone St, Willits, CA 95490-4225 | 2007-01-17 |
| 1508948100 | Bradley Patrick | Nurse Anesthetist, Certified Registered | 1 Madrone St, Willits, CA 95490-4225 | 2006-10-20 |
| 1144315730 | Anne C Retallick | Registered Nurse | 1 Madrone St, Frank Howard Memorial Hospital, Willits, CA 95490-4225 | 2006-10-03 |
| 1467466482 | Jonathan E Travis | Radiology | 1 Madrone St, Willits, CA 95490-4225 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
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|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
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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.