JILL NICOLE PEELER (NPI# 1770064800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770064800 |
| Entity Type | Individual |
| Full Name | JILL NICOLE PEELER |
| Practice Address |
4892 San Pablo Dam Rd El Sobrante CA 94803-3222 |
| Mailing Address |
3407 Eric Ct El Sobrante CA 94803-2007 |
| Practice Telephone | 5102223946 |
| Practice Fax Number | 5102223986 |
| Mailing Telephone | 5102223946 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4892 SAN PABLO DAM RD |
| City | EL SOBRANTE |
| State | CA |
| Zip Code | 94803-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942357538 | Izuchukwu L Megwa | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2007-01-04 |
| 1982201646 | Seth David Golub | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-10-06 |
| 1942817952 | Andrea Unis Jones | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-09-24 |
| 1063022697 | Alanna Marie Epps | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-08-07 |
| 1952927212 | Stephanie Lynne Lamont | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-06-23 |
| 1811513682 | Ernest Anthony Siler | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-06-17 |
| 1265057749 | Samantha Adele Luna | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-06-10 |
| 1689293094 | Marla Gabriela Gonzalez | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-04-15 |
| 1508405978 | Sandra Lynn Castaneda | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-01-02 |
| 1518505270 | Sabina S Anvari | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1104343458 | Kayla Simone Fields | Counselor | 4892 San Pablo Dam Road, El Sobrante, CA 94803 | 2017-08-28 |
| 1104353101 | Paula Jean Armstrong | Marriage & Family Therapist | 754 El Centro Rd, El Sobrante, CA 94803 | 2017-05-22 |
| 1932538121 | Wayne Matecki | Acupuncturist | 448 Valley View Road Suite B, El Sobrante, CA 94803 | 2013-11-07 |
| 1093937617 | Francine C. Manuel | Physical Therapist | 627 El Centro Road, El Sobrante, CA 94803 | 2007-05-03 |
| 1144362955 | Damon Garfield Whitaker | Counselor | 3535 El Portial Dr. B203, El Sobrante, CA 94803 | 2007-02-12 |
| 1689893497 | Gail Susan Gordon | Marriage & Family Therapist | 4980 Appian Way Ste 206, El Sobrante, CA 94803 | 2007-04-24 |
| 1427187483 | Miguel Angel Pinell | Dentist | 3980 San Pablo Dam Rd, #206, El Sobrante, CA 94803 | 2007-03-05 |
| 1063553253 | William E Judson | Dentist | 3980 San Pablo Dam Rd, Ste 203, El Sobrante, CA 94803 | 2007-02-09 |
| 1730642281 | Sunshine Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 3575 San Pablo Dam Road Suite 1, El Sobrante, CA 94803-0001 | 2019-04-11 |
| Find all providers in zip 94803 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104353341 | Precious Ml Owens | Student in an Organized Health Care Education/Training Program | 4832 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2017-05-18 |
| 1982201646 | Seth David Golub | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-10-06 |
| 1063022697 | Alanna Marie Epps | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-08-07 |
| 1952927212 | Stephanie Lynne Lamont | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-06-23 |
| 1689293094 | Marla Gabriela Gonzalez | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2020-04-15 |
| 1518505270 | Sabina S Anvari | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2019-12-12 |
| 1174019442 | Brian Andrew Colby | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2018-07-10 |
| 1578059549 | Miya Suri Moore-felton | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 | 2018-07-02 |
| 1457841058 | Maria Sanchez Madlansacay | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2018-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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| City | EL SOBRANTE |
| Zip Code | 94803 |
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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.