JENNIFER M WILSON (NPI# 1053663682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053663682 |
| Entity Type | Individual |
| Full Name | JENNIFER M WILSON |
| Practice Address |
4736 Victoria Ave Riverside CA 92507-5660 |
| Mailing Address |
Po Box 5595 Newport Beach CA 92662-5595 |
| Practice Telephone | 9512148775 |
| Mailing Telephone | 9512148775 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2013-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 212974 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| Street Address |
4736 VICTORIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790037323 | Omega Healthcare Concierge | Nursing Care | 4736 Victoria Ave, Riverside, CA 92507-5660 | 2012-10-05 |
| 1194077727 | Renaka Ellison | Licensed Vocational Nurse | 4736 Victoria Ave, Riverside, CA 92507-5660 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284228 | Keri Lynn Martinez | Licensed Vocational Nurse | 11563 Park Trails St, Riverside, CA 92505-5719 | 2020-04-23 |
| 1518591346 | Egladely Calderon Vela | Licensed Vocational Nurse | 3390 Country Village Rd Apt 2307, Riverside, CA 92509-1086 | 2020-03-02 |
| 1982235594 | Cherie Pena Grajeda | Licensed Vocational Nurse | 6473 Thunder Bay Trl, Riverside, CA 92509-0147 | 2020-02-01 |
| 1659912657 | Sidra Ann Wilson | Licensed Vocational Nurse | 2085 Rustin Ave # 5, Riverside, CA 92507-2498 | 2019-10-01 |
| 1326692765 | Betty O. Aimiuwu | Licensed Vocational Nurse | 2841 Grace St Apt 2, Riverside, CA 92504-4750 | 2019-07-24 |
| 1720590342 | Melva Elena Renteria | Licensed Vocational Nurse | 9890 County Farm Rd # 3, Riverside, CA 92503-3505 | 2017-11-05 |
| 1861917213 | Ta'neisha Monique-grady Riley | Licensed Vocational Nurse | 9890 County Farm Rd Bldg 3, Riverside, CA 92503-3505 | 2017-08-07 |
| 1801324017 | Janine Carol Williams | Licensed Vocational Nurse | 4311 University Ave, Riverside, CA 92501-3143 | 2017-06-01 |
| 1215311485 | Shannon Smail | Licensed Vocational Nurse | 5130 Sierra St, Riverside, CA 92504-2261 | 2015-07-16 |
| 1295112233 | Sommer Henry | Licensed Vocational Nurse | 6617 Palm Ave, Riverside, CA 92506-2345 | 2015-04-28 |
| Find all providers in RIVERSIDE | ||||
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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.