TIMOTHY PASSAVANT (NPI# 1851798276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851798276 |
Entity Type | Individual |
Full Name | TIMOTHY PASSAVANT |
Practice Address |
1531 Esplanade Chico CA 95926-3310 |
Practice Telephone | 5303327536 |
Mailing Telephone | 5303327536 |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
CPA00003560 | CA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1531 ESPLANADE |
City | CHICO |
State | CA |
Zip Code | 95926-3310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
1174120836 | Alexandra Lynn Watts | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2020-10-06 |
1336785096 | Jeannette Marian Mutch Teesdale | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-11-18 |
1205480639 | Shannon Marie Haller-baker | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-24 |
1386297331 | Andrew Adam Lee | Clinical Nurse Specialist | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-18 |
1710539333 | Elizabeth Joanne Seaman | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-13 |
1265094684 | Patricia Carol Paddock | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2019-07-05 |
1518439553 | Kelsey Lynn Micone | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926-3310 | 2018-12-31 |
1417448838 | Richelle Candace Wildey | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2018-05-21 |
1972022465 | Amber Rose Keenan | Nurse Practitioner | 1531 Esplanade, Chico, CA 95926 | 2017-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
Find all providers in zip 95926 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
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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.