STACIE NICOLE THUM (NPI# 1982932992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982932992 |
| Entity Type | Individual |
| Full Name | STACIE NICOLE THUM |
| Credential | MSN, FNP-C |
| Practice Address |
4987 Golden Foothill Pkwy El Dorado Hills CA 95762-9364 |
| Practice Telephone | 9169417362 |
| Mailing Telephone | 9169417362 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
596102 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4987 GOLDEN FOOTHILL PKWY |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-9364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750487310 | Lisa Diane Chodak | Obstetrics & Gynecology | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | 2006-09-14 |
| 1023384526 | Freshta Kakar | Obstetrics & Gynecology | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | 2012-03-28 |
| 1366718165 | Neurocare Electrodiagnostics A | Physical Therapist | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | 2012-03-26 |
| 1942575675 | Lisa Michelle Melody | Physician Assistant | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | 2012-03-13 |
| 1366719080 | Stefanie Nanette Winder | Physician Assistant | 4987 Golden Foothill Pkwy, Suite 200, El Dorado Hills, CA 95762-9364 | 2011-11-23 |
| 1225319486 | Sharon Rose Perez | Physician Assistant | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 | 2011-09-01 |
| 1942430566 | Chw Medical Foundation | Clinic/Center | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 | 2009-07-16 |
| 1740379072 | Cheryl Ann Matossian | Emergency Medicine | 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9636 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306813779 | Margaret Ann Parker | Nurse Practitioner | 1106 Windfield Way Ste 2, El Dorado Hills, CA 95762-9360 | 2006-03-03 |
| 1538638523 | Sheryl Gerales | Nurse Practitioner | 3860 El Dorado Hills Blvd, El Dorado Hills, CA 95762-4563 | 2018-11-19 |
| 1619168424 | Teresa Ann Cuthbertson | Nurse Practitioner | 1264 Hawks Flight Ct, Suite 100, El Dorado Hills, CA 95762-9348 | 2007-08-06 |
| 1285758151 | Kelley Berberich | Nurse Practitioner | 1216 Suncast Ln, Suite 1, El Dorado Hills, CA 95762-9668 | 2007-03-18 |
| 1366577512 | Jessica Odom Santos | Nurse Practitioner | 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762-9670 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
Please comment or provide details below to improve the information on STACIE NICOLE THUM.
| 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.