SHERRILL DIANE PETHERBRIDGE (NPI# 1790946085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790946085 |
| Entity Type | Individual |
| Full Name | SHERRILL DIANE PETHERBRIDGE |
| Credential | FNP |
| Practice Address |
736 W Jasmine Cir Santa Rosa CA 95407-6778 |
| Mailing Address |
736 W. Jasmine Circle Santa Rosa CA 95407-6778 |
| Practice Telephone | 7074316387 |
| Mailing Telephone | 7074316387 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
NP11649 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
736 W JASMINE CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707114 | Jacob Berumen | Nurse Practitioner | 1134 Lemoyne St, Los Angeles, CA 90026-3207 | 2020-10-11 |
| 1053702159 | Ivory Adanza | Nurse Practitioner | 1801 E March Ln Ste D480, Stockton, CA 95210-6681 | 2015-02-10 |
| 1427448414 | Nancy Seiler | Nurse Practitioner | 1305 Peach St Suite 301, San Luis Obispo, CA 93401-2700 | 2015-01-28 |
| 1619315165 | Christine Hovorka Weimer | Nurse Practitioner | 1515 Walnut Grove Ave, 1st Floor, Rosemead, CA 91770-3710 | 2013-06-06 |
| 1497098529 | Erin Lum | Nurse Practitioner | 77 Beale St Fl 3, Pg&e Health Center, San Francisco, CA 94105-1814 | 2013-03-27 |
| 1194019448 | Susan S Harada | Nurse Practitioner | 405 Bedford Pl, Thousand Oaks, CA 91360-5329 | 2011-06-03 |
| 1104151182 | Mary Elizabeth Murali | Nurse Practitioner | 1159 Mataro Ct, Pleasanton, CA 94566-6981 | 2009-10-08 |
| 1750550349 | Tammy Ann Watts | Nurse Practitioner | 5858 Stoneridge Mall Rd, Safeway Health Center, Pleasanton, CA 94588-3231 | 2008-02-27 |
| 1710182589 | Evangelina Ramirez | Nurse Practitioner | 200 Ucla Medical Plz Ste 224, Los Angeles, CA 90095-6926 | 2007-06-20 |
| 1487876595 | Monika Inslee Fischer | Nurse Practitioner | 522 E Broadway, Suite 200, Glendale, CA 91205-4927 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on SHERRILL DIANE PETHERBRIDGE.
| 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.