Healthcare Provider Details

I. General information

NPI: 1225967250
Provider Name (Legal Business Name): ALICE ATKINSON POPE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 E MAIN ST STE 101
VENTURA CA
93003-2624
US

IV. Provider business mailing address

10231 PRINCIPE PL
SANTA ROSA VALLEY CA
93012-8835
US

V. Phone/Fax

Practice location:
  • Phone: 805-948-2229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95095042
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL83972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: