MARY PECKENHAM (NPI# 1942675970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942675970 |
Entity Type | Individual |
Full Name | MARY PECKENHAM |
Credential | RN |
Practice Address |
2000 Sierra Rd Concord CA 94518 |
Mailing Address |
2000 Sierra Road Concord CA 94518 |
Practice Telephone | 9253632005 |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
311218 | CA | Nursing Service Providers |
Street Address |
2000 SIERRA RD |
City | CONCORD |
State | CA |
Zip Code | 94518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
1013520352 | Mackenzie Marie Canterbury | Student in an Organized Health Care Education/Training Program | 2000 Sierra Rd, Concord, CA 94518 | 2020-08-26 |
1326506775 | Kathleen Sianghio | Nurse Practitioner | 2000 Sierra Rd, Concord, CA 94518-2905 | 2019-03-05 |
1104354299 | Patricia Carey | Registered Nurse | 2000 Sierra Rd, Concord, CA 94518 | 2017-06-01 |
1982151494 | Jasmine Rios | Dental Hygienist | 2000 Sierra Rd, Concord, CA 94518 | 2016-09-01 |
1497202915 | Elvira Machkovsky | Nurse Practitioner | 2000 Sierra Rd, Concord, CA 94518 | 2016-09-01 |
1013378595 | Harpreet Kaur | Nurse Practitioner | 2000 Sierra Rd, Concord, CA 94518 | 2016-03-11 |
1194185470 | La Clinica De La Raza | Nurse Practitioner | 2000 Sierra Rd, Concord, CA 94518-2905 | 2016-03-01 |
1245570498 | Alexia Roxana Oviedo Lozano | Dentist | 2000 Sierra Rd, Concord, CA 94518 | 2013-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
1225173958 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 2885 Lane Dr, Concord, CA 94518 | 2007-02-20 |
Find all providers in zip 94518 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295726602 | Susan Miskovich Mehta | Registered Nurse | 219 Lephillip Court Ne, Concord, NC 28025-2900 | 2005-11-03 |
1891047585 | Gail Carey | Registered Nurse | 133 Ornac, Concord, MA 01742-4159 | 2012-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013516558 | Angela Mauricio Torres | Registered Nurse | 9888 Carroll Centre Rd Ste 101, San Diego, CA 92126-4581 | 2020-10-24 |
1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
1386298529 | Anna Grigoryev | Registered Nurse | 20226 Lorne St, Winnetka, CA 91306-1887 | 2019-07-25 |
1063971448 | Guifang Shi | Registered Nurse | 1016 Contra Costa Dr, El Cerrito, CA 94530-2710 | 2019-03-15 |
1447717483 | Laura Rombach Rau | Registered Nurse | 6955 Foothill Blvd Ste 450, Oakland, CA 94605-2455 | 2019-02-26 |
1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
1790276491 | Elizabeth Mercado Aquino | Registered Nurse | 7950 Caroline Ct, Dublin, CA 94568-1411 | 2018-05-29 |
1780191353 | Raynard Sterling | Registered Nurse | 2161 Van Wick St, Los Angeles, CA 90047-4644 | 2018-01-04 |
1346767076 | David A Alvarez | Registered Nurse | 1200n. State St., Los Angeles, CA 90033 | 2017-08-24 |
1346764230 | Roland Quero | Registered Nurse | 1000 W Carson St Rm 1m5, Torrance, CA 90502-2004 | 2017-08-01 |
Find all providers with the same taxonomy |
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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.