JOHN D EGOLF (NPI# 1891991923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891991923 |
| Entity Type | Individual |
| Full Name | JOHN D EGOLF |
| Credential | NP |
| Practice Address |
3184 Churn Creek Rd Redding CA 96002-2122 |
| Mailing Address |
863 Sunriver Ln Redding CA 96001-0169 |
| Practice Telephone | 5307682436 |
| Practice Fax Number | 5307682450 |
| Mailing Telephone | 5302444277 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN 515189 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN515189 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194892240 | John G Egolf | Nurse Practitioner | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 | 2006-11-30 |
| Street Address |
3184 CHURN CREEK RD |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980493 | Christina Cosh-davis | Chiropractor | 3184 Churn Creek Rd, Redding, CA 96002 | 2005-08-29 |
| 1982183760 | Nicole Anne Cassedy | Nurse Practitioner | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2018-08-13 |
| 1992241707 | Jessica Denise Sutton | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2017-01-17 |
| 1164807533 | Redding Rancheria | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2015-07-27 |
| 1699171660 | Shasta Community Health Center | Social Worker | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2014-11-18 |
| 1083998967 | Francine Jenet Hutchings | Pharmacist | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2011-10-10 |
| 1942522495 | Sarah L Planchard | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2010-02-25 |
| 1700063328 | Jessica L Cupp | Dietitian, Registered | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2008-01-25 |
| 1699897165 | Summer Lynn Ross | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2007-04-04 |
| 1184768863 | Angelique Michelle Gray | Counselor | 3184 Churn Creek Rd, Redding, CA 96002 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| 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 |
|---|---|---|---|---|
| 1750598603 | Denise Renee Pearson | Nurse Practitioner | 6969 Meadow Wood Trl, Redding, CA 96001-5339 | 2007-05-17 |
| 1174650758 | Sandra Diane Sammut | Nurse Practitioner | 1145 Whiskeytown Court, Suite A, Redding, CA 96001 | 2007-02-28 |
| 1073653861 | Martin Andrew Dawson | Nurse Practitioner | 2865 Churn Creek Rd, Suite B, Redding, CA 96002-1117 | 2007-02-08 |
| 1275501173 | Sandra Mackey | Nurse Practitioner | 2401 Hartnell Ave, Redding, CA 96002-2321 | 2006-03-08 |
| 1205822343 | Judith Ann Hall | Nurse Practitioner | 1100 Butte Street, Redding, CA 96001-0852 | 2005-09-23 |
| 1760486161 | Sally Trabert Chaney | Nurse Practitioner | 1901 Victor Ave, Redding, CA 96002-0412 | 2005-06-13 |
| 1730711516 | Taylor Marie Cardoza | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-02-10 |
| 1316577893 | Taylor Nicole Dittman | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-01-23 |
| 1679973903 | Sandra Lee Golles | Nurse Practitioner | 1145 Whiskeytown Ct, Suite A, Redding, CA 96001-0227 | 2014-08-22 |
| 1578974010 | Justin C Blumreich | Nurse Practitioner | 2107 Airpark Dr, Redding, CA 96001-2433 | 2014-05-19 |
| Find all providers in REDDING | ||||
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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.