MARY WALLACE HOWELL (NPI# 1790725075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790725075 |
| Entity Type | Individual |
| Full Name | MARY WALLACE HOWELL |
| Credential | PAC FNP |
| Practice Address |
2330 W Covell Blvd Ste 100 Davis CA 95616 |
| Mailing Address |
632 W Gibson Rd Woodland CA 95695-5169 |
| Practice Telephone | 5306682660 |
| Practice Fax Number | 5307565817 |
| Mailing Telephone | 5306661631 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA14001 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | NP8902 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | PA14001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147892 | Mary Howell | Social Worker | 3333 Clark Rd Ste 110, Sarasota, FL 34231-8437 | 2019-07-29 |
| 1790063196 | Mary Howell | Counselor | 2695 State Route U, Willow Springs, MO 65793-3426 | 2011-08-02 |
| 1386813632 | Mary Ann Howell | Nurse Practitioner | 2340 N Hills St, Ste F, Meridian, MS 39305-2651 | 2008-02-20 |
| 1619321882 | Mary Howell | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-14 |
| 1982065256 | Mary Howell | Counselor | 1516 Willow Lawn Dr, Suite 203, Richmond, VA 23230-3412 | 2016-03-15 |
| 1639552953 | Mary Howell | Behavioral Analyst | 1401 Parkmoor Ave, #208, San Jose, CA 95126-3403 | 2015-07-06 |
| 1710302492 | Mary Ethel Howell | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2014-03-04 |
| 1528401858 | Mary Jane Angela Howell | Registered Nurse | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-04-17 |
| 1811260136 | Mary Hollis Howell | Dentist | 3000 Medical Arts St, Number A, Austin, TX 78705-3305 | 2012-02-16 |
| 1396975439 | Mary Howell | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-07-23 |
| Street Address |
2330 W COVELL BLVD STE 100 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1427299353 | Kevin Mann | Physician Assistant | 1305 Oak Ave, Davis, CA 95616-1932 | 2009-03-24 |
| 1699972158 | Amoret E. Nicklisch | Physician Assistant | 2020 Sutter Pl Ste 101, Davis, CA 95616 | 2007-06-28 |
| 1124107602 | John Douthitt | Physician Assistant | 2040 Sutter Pl, Davis, CA 95616-6201 | 2006-11-03 |
| 1164942116 | Mark Jason Diaz | Physician Assistant | 2020 Sutter Pl Ste 104, Davis, CA 95616-6217 | 2017-06-21 |
| 1467844969 | Eric Westgate Kinsey | Physician Assistant | 2020 Sutter Pl, 101, Davis, CA 95616-6213 | 2015-02-20 |
| 1871981001 | Alyssa Rose Kesling | Physician Assistant | 2030 Sutter Pl Ste 1000, Davis Mob Internal Medicine #1000, Davis, CA 95616-6215 | 2014-12-22 |
| 1295082584 | Janet Hendrickson | Physician Assistant | 2051 John Jones Rd, Davis, CA 95616 | 2012-08-06 |
| 1285989988 | Joel Michael Grey | Physician Assistant | 635 Anderson Rd Ste 10, Davis, CA 95616-3505 | 2012-07-18 |
| 1558674531 | Mark David Owens | Physician Assistant | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2010-07-20 |
| Find all providers in DAVIS | ||||
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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.