ELLEN ESTABROOK TAYLOR (NPI# 1962598680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962598680 |
Entity Type | Individual |
Full Name | ELLEN ESTABROOK TAYLOR |
Credential | PAC |
Practice Address |
2200 Tydd St Eureka CA 95501-1284 |
Mailing Address |
670 Ninth Street Suite 203 Arcata CA 95521 |
Practice Telephone | 7074411624 |
Practice Fax Number | 7074411253 |
Mailing Telephone | 7078268633 |
Mailing Fax Number | 7078268638 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2017-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11331 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023339439 | Ellen I Taylor | Occupational Therapy Assistant | 57 Munger St, Bergen, NY 14416-9573 | 2010-06-21 |
1134387913 | Ellen Kay Taylor | Specialist | 1603 Monterey Pl, Mobile, AL 36604-1229 | 2008-05-28 |
1043660830 | Ellen Taylor | Behavioral Analyst | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-06-13 |
1174782759 | Ellen S Taylor | Psychologist | 26 W 9th St, Suite 1d, New York, NY 10011-8971 | 2008-06-09 |
1053536631 | Ellen H Taylor | Counselor | 535 Marmion Ave, Youngstown, OH 44502-2323 | 2007-04-17 |
1841365244 | Ellen Lee Taylor | Emergency Medicine | 9440 Poppy Dr, Dallas, TX 75218-3652 | 2006-11-21 |
1225145246 | Ellen Barahal Taylor | Psychologist | 2300 Washtenaw Ave, Suite 203, Ann Arbor, MI 48104-4500 | 2006-08-24 |
1821023516 | Ellen Taylor | Nurse Practitioner | 1132 Westfield St, West Springfield, MA 01089-3878 | 2006-07-11 |
1780615161 | Ellen Anne Taylor | Registered Nurse | 110 Lincoln Street, Ridgway, PA 15853 | 2006-07-05 |
1316913981 | Ellen S Taylor | Speech-Language Pathologist | 650 Joel Dr, Blanchfield Community Army Hospital, Fort Campbell, KY 42223-5318 | 2006-02-24 |
Street Address |
2200 TYDD ST |
City | EUREKA |
State | CA |
Zip Code | 95501-1284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033113535 | Suzanne Dietz | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2005-06-13 |
1447864756 | Shoua Lor | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-09-03 |
1487264586 | Susan Kang Blackburn | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-08-04 |
1104434364 | Gift Oluchi Okwandu | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-07-14 |
1942858790 | Haley April Davies | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-26 |
1568010312 | Gianvieve Schwirblat | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-26 |
1780230425 | Genay Marie Lebeuf | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-16 |
1447817184 | Marresa Chinwe Ozokwere | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-05-28 |
1104480953 | Anna Page Strunk | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-04-26 |
1174001986 | Patricia Lan Carter | Physician Assistant | 2200 Tydd St, Eureka, CA 95501-1284 | 2018-08-02 |
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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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821053984 | Anne C Wadham | Physician Assistant | 2505 Lucas St Ste A, Eureka, CA 95501-3340 | 2006-04-19 |
1386630630 | Alma Linda Schatzel | Physician Assistant | 304 Osloski Rd, Eureka, MT 59917-9217 | 2005-09-22 |
1962941419 | Alexandra Cessna Farmer | Physician Assistant | 105 S Major St, Eureka, IL 61530-1246 | 2017-02-16 |
1447412358 | Elise Kay Williams | Physician Assistant | 2773 Harris St, Suite D, Eureka, CA 95503-4866 | 2008-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.