THERESA LOUISE MORTENSEN (NPI# 1972683753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972683753 |
| Entity Type | Individual |
| Full Name | THERESA LOUISE MORTENSEN |
| Credential | N.P. |
| Practice Address |
3555 Round Barn Cir Santa Rosa CA 95403-1757 |
| Practice Telephone | 7075281050 |
| Practice Fax Number | 7075253874 |
| Mailing Telephone | 7075281050 |
| Mailing Fax Number | 7075253874 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 402482 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN402482 | 05 |
| Street Address |
3555 ROUND BARN CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190949 | Lorraine A Champion | Specialist | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2005-10-31 |
| 1043608805 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2015-01-02 |
| 1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
| 1770743312 | Sara Ann Keck | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2008-06-16 |
| 1962587444 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-25 |
| 1801986641 | Ralph Bailey Hanahan | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1376633149 | Wes Shen-lin Lee | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-13 |
| 1861582322 | Cindy Okada Scharfen | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1518055573 | Ian Churchill Anderson | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-11 |
| 1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1427518596 | Jeannine Anne Freeman | Nurse Practitioner | 1936 Northfield Dr, Santa Rosa, CA 95403-2086 | 2019-03-23 |
| 1215449814 | Jinney Murdes | Nurse Practitioner | 70 Stony Point Rd Ste G, Santa Rosa, CA 95401-4492 | 2017-11-04 |
| 1982121885 | Jennifer Elizabeth Warren | Nurse Practitioner | 1144 Sonoma Ave Ste 119, Santa Rosa, CA 95405-4812 | 2017-08-23 |
| 1205245255 | Jacqueline Anderson | Nurse Practitioner | 2057 Northfield Dr, Santa Rosa, CA 95403-2073 | 2014-08-04 |
| 1679792071 | Jane E Kennedy | Nurse Practitioner | 2455 Bennett Valley Rd Ste B205, Santa Rosa, CA 95404-5667 | 2007-04-24 |
| 1619903010 | James Clifford Strother | Nurse Practitioner | 3536 Mendocino Avenue, #300, Santa Rosa, CA 95403 | 2006-06-25 |
| 1720052921 | Dana K Mckinney | Nurse Practitioner | 2023 Gardenview Pl, Santa Rosa, CA 95403-9488 | 2006-02-14 |
| 1770553273 | Jennifer Carin Follestad | Nurse Practitioner | 392 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2006-01-25 |
| 1508403551 | Victoria Ojiako | Nurse Practitioner | 2235 Challenger Way, Santa Rosa, CA 95407-5458 | 2019-12-09 |
| 1548723422 | Sunny Bush | Nurse Practitioner | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2019-04-09 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on THERESA LOUISE MORTENSEN.
| 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.