MS. JENNIFER PREAP (NPI# 1043866627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043866627 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER PREAP |
| Practice Address |
441 S Ham Ln Ste A Lodi CA 95242-3525 |
| Mailing Address |
541 S Ham Ln Ste B Lodi CA 95242-3530 |
| Practice Telephone | 2092248940 |
| Mailing Telephone | 2092248940 |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| Street Address |
441 S HAM LN STE A |
| City | LODI |
| State | CA |
| Zip Code | 95242-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740631985 | Alexis Cortez-bautista | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2016-06-29 |
| 1083260780 | Marci Deanna Patrick | Licensed Vocational Nurse | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-18 |
| 1306492822 | Abigail Gillett | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-12 |
| 1740834753 | Jaleese Denee Bryant | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-07-29 |
| 1821560129 | Angeles Alfaro | Licensed Vocational Nurse | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-12-26 |
| 1700357662 | Aissa Lea Garin X | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-12-17 |
| 1205305968 | Michael James Latorraca | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-11-24 |
| 1285103200 | Ashadieeyah Latifa Karima Barakat | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-11-20 |
| 1619444700 | Ginger Vaughn | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-10-27 |
| 1114407368 | Meenal Mandeeta Prasad-mangal | Licensed Vocational Nurse | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2018-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871416 | Life Line Centers of California Inc | Counselor | 856 N Sacramento St Ste H, Lodi, CA 95240-1251 | 2016-10-11 |
| 1740631985 | Alexis Cortez-bautista | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2016-06-29 |
| 1467814301 | Michael Compton | Counselor | 441 S. Ham Lane, Suite A, Lodi, CA 95242-3525 | 2016-03-21 |
| 1649419649 | Claudia Irene Fender | Counselor | 1300 W Lodi Ave Ste G2, Lodi, CA 95242-3037 | 2009-02-13 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1548869050 | Heather Lizbeth Pittman | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-26 |
| 1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
| 1003421314 | Esperanza Gonzales | Counselor | 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 | 2020-09-14 |
| 1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
| 1306492822 | Abigail Gillett | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-12 |
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| 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.