| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669479457 | MUCKERMAN | ELIZABETH | ASHDOWN | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1609875871 | NELSON | HEIDI | LEIGH | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1053312710 | ROGERS | JOSHUA | B | PO BOX 9578 | SOUTH LAKE TAHOE | CA | 961589578 |