DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SIOBHAN NICHEALLAIGH

MEDICARE: SIOBHAN NICHEALLAIGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629931332
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIOBHAN NICHEALLAIGH
Provider Business Mailing Address
First Line : 5500 CAMPANILE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92182-0003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 CAMPANILE DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92182-0003
Country : US
Telephone Number : 619-594-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1710833124 — ARRAN FAHEY
Practice Location Address:
5500 CAMPANILE DR
SAN DIEGO, CA
92182-0003
Practice Phone: 619-594-5200
Practice Fax:
1174119564 — AMY HEISS RN
Practice Location Address:
5500 CAMPANILE DR
SAN DIEGO, CA
92182-0003
Practice Phone: 619-594-6384
Practice Fax:
1750970604 — SONYA LE ATS
Practice Location Address:
5500 CAMPANILE DR
SAN DIEGO, CA
92182-0003
Practice Phone: 619-594-5200
Practice Fax:
1518667708 — MADELINE STROM
Practice Location Address:
5500 CAMPANILE DR
SAN DIEGO, CA
92182-0003
Practice Phone: 619-594-5200
Practice Fax:
1952095416 — ASHLEY SERVEN MS, ATC
Practice Location Address:
5500 CAMPANILE DR
SAN DIEGO, CA
92182-0003
Practice Phone: 858-442-1434
Practice Fax:

Directions to “ SIOBHAN NICHEALLAIGH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.