ERICA SHADAE KOEPPEN (NPI# 1790281947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790281947 |
| Entity Type | Individual |
| Full Name | ERICA SHADAE KOEPPEN |
| Credential | DNP, FNP, AGNP |
| Practice Address |
540 W Pueblo St Santa Barbara CA 93105 |
| Mailing Address |
Po Box 62106 Santa Barbara CA 93160-2106 |
| Practice Telephone | 8055635800 |
| Mailing Telephone | 8055635800 |
| Mailing Fax Number | 8058983611 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95007268 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | NP9500726 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2202 River Run Dr Unit 14, San Diego, CA 921085804 | 6198926256 |
| Street Address |
540 W PUEBLO ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902874563 | Deborah Meyers | Internal Medicine | 540 W Pueblo St, Santa Barbara, CA 93105 | 2006-03-09 |
| 1073169736 | Honeylette Sy Wong | Registered Nurse | 540 W Pueblo St, Santa Barbara, CA 93105 | 2019-08-16 |
| 1447636337 | Hannah Andrew | Genetic Counselor, MS | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2015-08-03 |
| 1619313483 | Danielle Sharaga | Genetic Counselor, MS | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2013-05-20 |
| 1801159967 | Julian Reed Davis | Internal Medicine | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2012-06-22 |
| 1861719551 | Ryan Francis Kendle | Internal Medicine | 540 W Pueblo St, Santa Barbara, CA 93105 | 2010-04-21 |
| 1053649483 | Samvada Manuela Hilow | Nurse Practitioner | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2009-11-23 |
| 1881838464 | Novejot Kaur Sekhon | Internal Medicine | 540 W Pueblo St, Santa Barbara, CA 93105 | 2009-04-27 |
| 1427202316 | Santa Barbara Hematology Oncology Medical Group | Internal Medicine | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2008-11-05 |
| 1811186018 | Amanda Jayne Sweet | Physician Assistant | 540 W Pueblo St, Santa Barbara, CA 93105-4230 | 2007-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524626 | Holly Elizabeth Romine | Nurse Practitioner | 423 E Valerio St, Santa Barbara, CA 93101-8118 | 2019-08-23 |
| 1174061410 | Maria Concepcion Medina Baggao | Nurse Practitioner | 200 N La Cumbre Rd Ste E, Santa Barbara, CA 93110-2587 | 2017-02-07 |
| 1497800080 | Judith A. Rand | Nurse Practitioner | 317 W. Pueblo Street, Santa Barbara, CA 93105-1358 | 2007-01-24 |
| 1720133739 | Lisa Rader | Nurse Practitioner | 5370 Hollister Ave Ste B, Santa Barbara, CA 93111-2396 | 2007-01-23 |
| 1477575934 | Kristi Jayne King | Nurse Practitioner | 607 Miramonte Dr, Santa Barbara, CA 93109-1428 | 2006-07-24 |
| 1780235960 | Shiela Marie Marie Tungol-laffie | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-09-27 |
| 1972079663 | Robert Richard Bauer | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-10-19 |
| 1841659927 | Andrea Elise Mclarty | Nurse Practitioner | 2305 De La Vina St, Santa Barbara, CA 93105-3873 | 2016-02-17 |
| 1376923722 | Megan Tarrant | Nurse Practitioner | 504 W Pueblo St, Ste. 202, Santa Barbara, CA 93105-6211 | 2015-06-01 |
| 1487083655 | Hangama Abassi | Nurse Practitioner | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2013-11-07 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
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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.