| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1760472724 | FEENEY | MICHELLE | WILKERSON | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1548596513 | PHILLIPSEN | REBECCA | K | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1629275235 | PROTELL | TRACY | REGINA | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1548486699 | RUPP | SONIA | N | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |