STEPHANIE PEACOCK (NPI# 1982231346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982231346 |
| Entity Type | Individual |
| Full Name | STEPHANIE PEACOCK |
| Credential | DC |
| Practice Address |
1551 Pacific Ave Santa Rosa CA 95404-3568 |
| Practice Telephone | 2397384433 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 34804 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487938353 | Stephanie Peacock | Speech-Language Pathologist | 122 Kyserike Road, Accord, NY 12404 | 2011-10-10 |
| 1659743334 | Stephanie Olga Peacock | Internal Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2015-10-21 |
| Street Address |
1551 PACIFIC AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644233 | Peter Sultana | Family Medicine | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2006-06-07 |
| 1760089635 | Christopher Andrew Rhule | Physician Assistant | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-10-05 |
| 1992325179 | Sadiq Sheraze | Chiropractor | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-04-17 |
| 1053944132 | Valerie Schur | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-02-18 |
| 1538667506 | Amy Cahoy | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2018-01-24 |
| 1609312032 | Sonja Halsey | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2017-01-09 |
| 1053776229 | Cameron O'connell | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2015-12-15 |
| 1285015214 | David Michael Goldman | Dietitian, Registered | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2015-06-16 |
| 1295123206 | Csilla Veress | Acupuncturist | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2014-12-26 |
| 1164794970 | Nathan Michael Gershfeld | Chiropractor | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136408 | Ridgway Chiropractic Inc | Chiropractor | 1105 N Dutton Ave Ste D, Santa Rosa, CA 95401-4683 | 2016-03-08 |
| 1154567659 | Lucas C Mccully | Chiropractor | 4655 Hoen Ave Ste 8, Santa Rosa, CA 95405-7830 | 2009-01-05 |
| 1740455492 | Marjan Kaveh | Chiropractor | 95 Montgomery Dr Ste 202, Santa Rosa, CA 95404-3202 | 2008-04-24 |
| 1952576753 | Jasmine Jackson | Chiropractor | 1105 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4682 | 2008-04-23 |
| 1205008737 | Helen Mary Thomas | Chiropractor | 2200 County Center Dr Ste B, Santa Rosa, CA 95403 | 2008-03-25 |
| 1548459324 | Donald James Wright | Chiropractor | 349 College Ave, Santa Rosa, CA 95401-5117 | 2007-10-17 |
| 1720276645 | Thomas Collins | Chiropractor | 1212 Farmers Ln Ste 2, Santa Rosa, CA 95405-6747 | 2007-10-04 |
| 1588858427 | David Edqard Miller | Chiropractor | 1725 King St, Santa Rosa, CA 95404-2916 | 2007-09-04 |
| 1982897377 | Michael Gene Ridgeway | Chiropractor | 777 Farmers Ln, Santa Rosa, CA 95405-6701 | 2007-08-20 |
| 1912104795 | Craig S Hartman | Chiropractor | 3861 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2007-06-27 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on STEPHANIE PEACOCK.
| 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.