Alice Lane Therrell (NPI# 1174953368, PAC ID# 5294060976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174953368 |
| PAC ID by PECOS | 5294060976 |
| Professional Enrollment ID | I20190717003098 |
| Full Name | Alice Lane Therrell |
| Organization Legal Name | SALUSIVE, INC. |
| Address |
5901 Vallejo St Apt D Emeryville CA 94608-2136 |
| Phone Number | 9499229562 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951662774 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5901 Vallejo St, Apt D, Emeryville, CA 94608-2136 | 9499229562 | SALUSIVE, INC. |
| Organization Legal Name | SALUSIVE, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Toussaint | Nurse Practitioner | Salusive, Inc. | 5901 Vallejo St, Apt D, Emeryville, CA 94608-2136 |
| Street Address |
5901 VALLEJO ST APT D |
| City | EMERYVILLE |
| State | CA |
| Zip | 94608-2136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Toussaint | Nurse Practitioner | Salusive, Inc. | 5901 Vallejo St, Apt D, Emeryville, CA 94608-2136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Najuma Zakiya Shurn | Psychologist, Clinical | 1316 67th St, Emeryville, CA 94608-1121 | |
| Marcus A Pedroza | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Robert L Baker | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Robert L Lin | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Oliver Jacob Mok | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Sonam M Patel | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Tyler R Williams | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Colin Mcdannel | Physical Therapy | Stac Physical Therapy Emeryville Inc. | 2322 Powell St, Emeryville, CA 94608-1738 |
| Kenneth K Chen | Internal Medicine | Permanente Medical Group Inc | 2000 Powell St, Suite 140, Emeryville, CA 94608-1781 |
| Sijie Zheng | Internal Medicine | Permanente Medical Group Inc | 2000 Powell St, Suite 140, Emeryville, CA 94608-1781 |
| Find all physicians in zip 94608 | |||
| City | EMERYVILLE |
| Zip Code | 94608 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EMERYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alice Lane Therrell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.