KATHRYN MAHONEY O'MALLEY (NPI# 1952845596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952845596 |
Entity Type | Individual |
Full Name | KATHRYN MAHONEY O'MALLEY |
Credential | RN FNP |
Practice Address |
317 2nd St Eureka CA 95501-0425 |
Practice Telephone | 7074764981 |
Practice Fax Number | 7074764998 |
Mailing Telephone | 7074764981 |
Mailing Fax Number | 7074764998 |
Enumeration Date | 2016-12-16 |
Last Update Date | 2016-12-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
389678 | CA | Nursing Service Providers |
Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
389678 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
317 2ND ST |
City | EUREKA |
State | CA |
Zip Code | 95501-0425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841406139 | Jace Haylings Chalon | Registered Nurse | 317 2nd St, Eureka, CA 95501-0425 | 2007-05-15 |
1487102067 | Chanda Gail Pifferini | Registered Nurse | 317 2nd St, Eureka, CA 95501-0425 | 2016-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
Find all providers in zip 95501 |
Taxonomy Code | 364SC1501X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Community Health/Public Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609335181 | Zinnia Community Care Clinic | Clinical Nurse Specialist | 2917 W Vernon Ave, Los Angeles, CA 90008-4714 | 2019-03-14 |
1467794453 | Katie Greene | Clinical Nurse Specialist | 2751 Tropicana Dr, Riverside, CA 92504-4277 | 2013-03-18 |
1780978379 | Andre Mitch Michaud | Clinical Nurse Specialist | 4215 26th St, San Francisco, CA 94131-1836 | 2011-06-01 |
1245467380 | Alice Y Wong | Clinical Nurse Specialist | 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 | 2009-06-16 |
1043344450 | Valerie Lee Bellnap | Clinical Nurse Specialist | 561 Canal St, Placerville, CA 95667-4312 | 2007-03-15 |
1871620369 | Patricia Jane Murphy | Clinical Nurse Specialist | 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 | 2007-02-28 |
1538296330 | Linda D Cromwell | Clinical Nurse Specialist | 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 | 2007-02-27 |
1477697985 | Cindy Slotterback Gaffney | Clinical Nurse Specialist | 950 Sevier Rd, Cool, CA 95614-9439 | 2007-02-16 |
1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
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.