JULIE QUILLEN (NPI# 1932740289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932740289 |
| Entity Type | Individual |
| Full Name | JULIE QUILLEN |
| Practice Address |
960 Mccourtney Rd Ste E Grass Valley CA 95949-7423 |
| Mailing Address |
714 W Main St Grass Valley CA 95945-6410 |
| Practice Telephone | 5302723467 |
| Mailing Telephone | 5304779800 |
| Mailing Fax Number | 5304779803 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
960 MCCOURTNEY RD STE E |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95949-7423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215280649 | John Kingsley Pollard IIi | Chiropractor | 10110 Alta Sierra Drive, Suite A, Grass Valley, CA 95949 | 2012-10-23 |
| 1083813455 | Carolyn Sue Stewart | Registered Nurse | 13397 Mccarter Way, Grass Valley, CA 95949 | 2007-07-16 |
| 1487859419 | Susanne T Bock | Chiropractor | 10370 King Way, Grass Valley, CA 95949 | 2007-06-19 |
| 1891917365 | Charis Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 17036 Bissell Place, Grass Valley, CA 95949 | 2007-05-03 |
| 1093856510 | John H. Stewart | Marriage & Family Therapist | 908 Taylorville Rd., Ste. 206, Grass Valley, CA 95949 | 2007-02-08 |
| 1427196245 | Nancy Kathleen Rarick | Marriage & Family Therapist | 10055 Wolf Rd Ste 4, Grass Valley, CA 95949 | 2007-02-02 |
| 1184726432 | Kathleen Brady | Chiropractor | 10110 Alta Sierra Dr., Suite A, Grass Valley, CA 95949 | 2006-09-05 |
| 1700997681 | Gayle M Crough | Nurse Practitioner | 10058 Wolf Road, Grass Valley, CA 95949 | 2006-08-31 |
| 1356451017 | Raleys Inc | Pharmacy | 692a Freeman Lane, Grass Valley, CA 95949 | 2006-08-30 |
| 1013985340 | Walter Scott Miller | Specialist | 10042 Wolf Road, Suite A, Grass Valley, CA 95949 | 2006-03-11 |
| Find all providers in zip 95949 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215432 | Rebecca Ahern | Student in an Organized Health Care Education/Training Program | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-05-05 |
| 1629619291 | Gretchen Hemberger | Student in an Organized Health Care Education/Training Program | 500 Crown Point Cir Ste 100, Grass Valley, CA 95945-9561 | 2019-10-03 |
| 1447746235 | Kathleen Patricia Coyne-boyles | Student in an Organized Health Care Education/Training Program | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2018-07-05 |
| 1285986356 | Sharon Miller Rose | Student in an Organized Health Care Education/Training Program | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2012-10-12 |
| 1821252826 | Lynne Demartini | Student in an Organized Health Care Education/Training Program | 714 W Main St, Grass Valley, CA 95945-6410 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95949 |
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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.