TRISTA NICOLE SOS


Address: 1907 Tiburon Dr, Redding, CA 96003-9232
Phone: 7073621751

TRISTA NICOLE SOS (NPI# 1003291188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003291188
Entity Type Individual
Full Name TRISTA NICOLE SOS
Credential LVN
Practice Address 1907 Tiburon Dr
Redding
CA 96003-9232
Mailing Address 1907 Tiburon Dr
Redding
CA 96003
Practice Telephone 7073621751
Mailing Telephone 7073621751
Enumeration Date 2015-07-30
Last Update Date 2015-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN 247964 CA Nursing Service Providers

Office Location

Street Address 1907 TIBURON DR
City REDDING
State CA
Zip Code 96003-9232

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1144882309 Patricia Price Social Worker 2280 Benton Dr Building C, Suite A, Redding, CA 96003 2019-07-08
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1811344450 Roger Milton Slagle Social Worker 999 Mission De Oro Dr Ste 103, Redding, CA 96003 2016-05-23
1265713812 Tesha Marie Huston Pharmacist 975 Cypress Ave, Redding, CA 96003 2011-09-08
1861717605 Western Physical Therapy Inc Physical Therapist 1495 Victor Ave, Suite D, Redding, CA 96003 2010-04-05
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1821232877 Express Medi-trans, Inc. Non-emergency Medical Transport (VAN) 2985 Innsbruck Dr, Redding, CA 96003 2009-04-21
1235393000 Bridget Gabrielle Young Physical Therapist 2021 Benton Dr, Redding, CA 96003 2008-07-10
1447427406 Terra Bella Communities Nursing Facility/Intermediate Care Facility 280 Riverpark Drive, Redding, CA 96003 2008-05-09
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184194672 Marie Sherrick Licensed Vocational Nurse 2030 Elreno Lane, Redding, CA 96001 2018-11-28
1053763953 Katryna Sherby Licensed Vocational Nurse 2603 Wilson Ave, Redding, CA 96002-1706 2016-07-05
1659621639 Vinicio Rafael Colon Jr. Licensed Vocational Nurse 1670 Market St, Suite 246, Redding, CA 96001-1038 2012-09-17
1588934889 Shaun Elijah Gabriel Licensed Vocational Nurse 1716 Court St., Suite B, Redding, CA 96001 2012-01-04
1972870954 Paige Williams-emery Licensed Vocational Nurse Arcadia 1716 Court St, Suite B, Redding, CA 96001 2011-11-19
1881848232 Dorinda Elaine Manson Licensed Vocational Nurse 1716 Court St Ste B, Redding, CA 96001-1762 2008-11-12
1164030185 Dolly Sianez Licensed Vocational Nurse 1090 E Cypress Ave Ste B, Redding, CA 96002-1163 2020-07-15
1396391793 Diane Coffland Licensed Vocational Nurse 1147 Hartnell Ave, Redding, CA 96002-2113 2019-08-13
1184270373 Penny Ann Lee Licensed Vocational Nurse 1147 Hartnell Ave, Redding, CA 96002-2113 2019-08-13
1790243228 Alberta Keene Licensed Vocational Nurse 855 Canyon Rd, Redding, CA 96001-5544 2019-03-04
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Competitor

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City REDDING
Zip Code 96003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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