Sherin Ann Chakkalakel (NPI# 1104390053, PAC ID# 7719228287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104390053 |
| PAC ID by PECOS | 7719228287 |
| Professional Enrollment ID | I20190410000802 |
| Full Name | Sherin Ann Chakkalakel |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
905 E Washington St St Joseph Heritage Healthcare Petaluma CA 94952-3389 |
| Phone Number | 7077639891 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050136 | PETALUMA VALLEY HOSPITAL |
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 141 Lynch Creek Way, Suite C, Petaluma, CA 94954-2390 | 7077630802 | ST JOSEPH HERITAGE HEALTHCARE |
| 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 | 7077639891 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Mindy Eve Tittiger | Internal Medicine | St Joseph Heritage Healthcare | 2700 Dolbeer St, Eureka, CA 95501-4736 |
| Street Address |
905 E WASHINGTON ST ST JOSEPH HERITAGE HEALTHCARE |
| City | PETALUMA |
| State | CA |
| Zip | 94952-3389 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Joy Ritter | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Rajina R Ranadive | Internal Medicine | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Eleanor R Mclaughlin | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Dustin K Wetmore | Physician Assistant | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Andre Gerard | Family Medicine | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Marion Guyer | Internal Medicine | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Theresa Carla Negrido Johnson | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Dean Donaldson | Chiropractic | 709 Petaluma Blvd N B, Petaluma, CA 94952-2106 | |
| Ronald Eugene Hammer | Chiropractic | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | |
| Don M Griffith | Podiatry | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | |
| Bradley K Osgood | Chiropractic | 135 Keller St, Suite A, Petaluma, CA 94952-2312 | |
| Dennis C Casad | Chiropractic | 401 Washington St, Suite C, Petaluma, CA 94952-2346 | |
| Judy Iwanier | Clinical Social Worker | 5 Keller St, Suite 2, Petaluma, CA 94952-2349 | |
| Kathryn A Oconnor | Chiropractic | 5 Keller St, Suite C, Petaluma, CA 94952-2350 | |
| Mark Reynolds Swanson | Chiropractic | 801 Western Ave, Petaluma, CA 94952-2547 | |
| Cindy George | Chiropractic | 801 Western Ave, Petaluma, CA 94952-2547 | |
| Steven A Battaglino | Chiropractic | 620 Petaluma Blvd N, Suite B, Petaluma, CA 94952-2870 | |
| Find all physicians in zip 94952 | |||
| City | PETALUMA |
| Zip Code | 94952 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PETALUMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sherin Ann Chakkalakel.
| 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.