JAMIE MICHELLE WHEELAHAN NP NPI 1417915513

Nurse Practitioner (Acute Care) in Fairfield, CA

Individual Female Nurse Practitioner Acute Care

About JAMIE WHEELAHAN

Jamie Wheelahan is a provider established in Fairfield, California and her medical specialization is nurse practitioner. The NPI number of Jamie Wheelahan is 1417915513 and was assigned on May 2006. The practitioner's primary taxonomy code is 363LA2100X with license number 17220 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI

1417915513

Provider Name JAMIE MICHELLE WHEELAHAN NP
Provider Location Address1200 B GALE WILSON BLVD FAIRFIELD, CA 94533
Provider Mailing Address1200 B GALE WILSON BLVD FAIRFIELD, CA 94533
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-01-2006
Last Update Date06-14-2010

Primary Taxonomy

Taxonomy Code363LA2100X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAcute Care
License No.17220
License StateCA

Business Address

JAMIE MICHELLE WHEELAHAN NP
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 646-5300
Fax: (707) 646-5334

Get Directions

Mailing Address

JAMIE MICHELLE WHEELAHAN NP
1200 B GALE WILSON BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 646-5300
Fax: (707) 646-5334

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q22116MEDICARE UPIN (02)NE
277846MEDICARE ID-TYPE UNSPECIFIED (04)NE
17220OTHER (01)CA
47078557542MEDICAID (05)NE
110636OTHER (01)NE
47037658373MEDICAID (05)NE

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003801556DR. JOSEPH J DOMINGUEZ M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1003809823DR. JEFFREY J SAADI M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1023045515 SETH ABRAHAM KAUFMAN M.D.
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7830
1164431615 SHIRLEY YI SHEN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-7844
1215904198DR. GODFREY E WONG MD
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-0777
1326031030DR. ANNIE Y LAU M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1477522480DR. PUSHKAR RAJ PANDEY M.D.
Individual
Internal Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1598868705 GARY L. HOLLINGER PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1609824556DR. JAMES B BRONK M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1639121924EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(858) 759-4765
1649263526DR. RONALD T STAFFORD M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1689692584 KATHRYN LEMLOW PA-C
Individual
Emergency Medicine1200 B GALE WILSON BLVD NORTHBAY MEDICAL CENTER
FAIRFIELD, CA 94533
(707) 429-3600
1770539413DR. JAMES F MCMAHON M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1790760551DR. CAESAR REZA DJAVAHERIAN M.D.
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 646-7800
1790888758 DAVID A PARKHURST FNP
Individual
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1841283595DR. WAYNE THOMAS WALKER M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800
1861413551DR. NAIL AMRO M.D.
Individual
Internal Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 429-3600
1952344293SOLANO GATEWAY MEDICAL GROUP, INC.
Organization
Emergency Medicine1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(925) 924-1600
1952348617DR. WILLIAM N GONSER M.D.
Individual
Radiology (Diagnostic Radiology)1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(707) 464-6510
1962495671DR. MARK HILBERMAN M.D.
Individual
Anesthesiology1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
(916) 481-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.