JULIET KAREN HEGDAL (NPI# 1790964336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790964336 |
Entity Type | Individual |
Full Name | JULIET KAREN HEGDAL |
Credential | FNP |
Practice Address |
101 West Coast Rd. Redway CA 95560-0769 |
Mailing Address |
Po Box 769 Redway CA 95560-0769 |
Practice Telephone | 7079232783 |
Practice Fax Number | 7079232543 |
Mailing Telephone | 7079232783 |
Mailing Fax Number | 7079232543 |
Enumeration Date | 2007-10-31 |
Last Update Date | 2015-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17324 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 WEST COAST RD. |
City | REDWAY |
State | CA |
Zip Code | 95560-0769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922053305 | Philip Scheel | Family Medicine | 101 West Coast Rd., Redway, CA 95560-0769 | 2006-05-23 |
1447719869 | Natalie Goltz | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-15 |
1487112561 | Kelly Noble | Marriage & Family Therapist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-07 |
1043702475 | Susan Bowles | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-0769 | 2018-06-01 |
1841735263 | Katherine Allen | Marriage & Family Therapist | 101 West Coast Rd., Redway, CA 95560-0769 | 2016-12-20 |
1629529557 | Robin Leah Barnes | General Practice | 101 West Coast Rd., Redway, CA 95560-2110 | 2016-10-15 |
1215151618 | Lorraine Prisbrey | Dentist | 101 West Coast Rd., Redway, CA 95560-0769 | 2007-04-13 |
1386771905 | Judy Hulbert-anderson | Dentist | 101 West Coast Rd., Redway, CA 95560-0769 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790222479 | Kelly Ward | Dental Hygienist | 101 West Coast Road Suite A, Redway, CA 95560 | 2017-01-19 |
1093965725 | Pearl Mcginley | Acupuncturist | 3168 Redwood Dr, Redway, CA 95560 | 2008-09-30 |
1023290301 | Blake Jerome Olson | Dentist | 101 Westcoast Rd., Redway, CA 95560 | 2007-11-29 |
1699803262 | Frank J. Di Bari | Dentist | 76 Briceland Road, Redway, CA 95560 | 2007-03-02 |
1700950276 | Maryanne Riley | Nurse Practitioner | 101 Westcoast Rd, Redway, CA 95560 | 2006-11-17 |
1689748147 | Marilyn Lee Foote | Social Worker | 101 West Coast Rd, Redway, CA 95560 | 2006-11-17 |
1447324900 | Kathleen Louise Hartje | Acupuncturist | 101 Westcoast Road, Redway, CA 95560 | 2006-11-17 |
1689764136 | Matthew R Winkle | Dentist | 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560 | 2006-10-13 |
1235220542 | Richard Linn | Dentist | 355 Briceland Road, Redway, CA 95560 | 2006-09-28 |
1093717019 | Steve A Norton | Dentist | 76 Briceland Rd, Redway, CA 95560 | 2005-08-10 |
Find all providers in zip 95560 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306141676 | Sarah Frances Lippitt Houston | Nurse Practitioner | 101 West Coast Road, Redway, CA 95560 | 2011-01-18 |
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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.