RUTH SHERIDAN (NPI# 1982087680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982087680 |
| Entity Type | Individual |
| Full Name | RUTH SHERIDAN |
| Practice Address |
777 E Santa Clara St San Jose CA 95112-1934 |
| Mailing Address |
521 Leona Dr Livermore CA 94550-5237 |
| Practice Telephone | 9252866095 |
| Mailing Telephone | 9252866095 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95003115 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
847569 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4150 Clement St, San Francisco, CA 941211545 | 4157502129 | 4157506614 |
| Street Address |
777 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528258027 | Francis Chikeung Fong | Social Worker | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2007-07-31 |
| 1417400912 | Renee Nicole Carrasco | Licensed Vocational Nurse | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2016-08-01 |
| 1275992406 | County of Santa Clara | Durable Medical Equipment & Medical Supplies | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2016-02-16 |
| 1356736029 | County of Santa Clara | Clinic/Center | 777 E Santa Clara St, Vhc At Downtown Clinic, San Jose, CA 95112-1934 | 2015-03-31 |
| 1568869337 | Rhoda Le | Registered Nurse | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2014-11-22 |
| 1144625179 | Michael Geller | Physician Assistant | 777 E Santa Clara St, San Jose, CA 95112 | 2014-11-04 |
| 1962805416 | Chui-yee Lo | Pharmacist | 777 E Santa Clara St, San Jose, CA 95112 | 2014-09-29 |
| 1235543240 | Hang Thi Nguyen | Nurse Practitioner | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2014-06-17 |
| 1083957997 | Todd C. Fong | Internal Medicine | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2013-03-28 |
| 1972857258 | Karen Oh | Pharmacist | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881050425 | Shairstin Fierro | Nurse Practitioner | 5012 Jarvis Ave, San Jose, CA 95118-2428 | 2016-01-12 |
| 1710259361 | Erin Kathleen Alicia O'hair | Nurse Practitioner | 255 N White Rd Ste 200b, San Jose, CA 95127 | 2012-01-29 |
| 1275927204 | Mary Tang Chiang | Nurse Practitioner | 299 Stockton Ave, San Jose, CA 95126 | 2015-03-27 |
| 1790178317 | Stephen Kenneth Boniface | Nurse Practitioner | 393 Blossom Hill Rd, Suite 390b, San Jose, CA 95123-1652 | 2015-03-05 |
| 1144610122 | Oi Shan Wong | Nurse Practitioner | 255 N White Rd Ste 200b, San Jose, CA 95127-1966 | 2015-01-29 |
| 1962691725 | Martha Payne | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2007-10-17 |
| 1295952711 | Nancy Marie Nuzzolillo | Nurse Practitioner | 1 Washington Sq, San Jose, CA 95192-0037 | 2007-04-18 |
| 1801915962 | Patricia Ann Latour | Nurse Practitioner | 1 Washington Sq, San Jose, CA 95192-0037 | 2007-03-28 |
| 1669585501 | Joan Leslie Moschella | Nurse Practitioner | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-08-16 |
| 1679686554 | Lauren Tang Lym | Nurse Practitioner | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-08-16 |
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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.