TAMRA ELLEN ST JOHN (NPI# 1053919084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053919084 |
| Entity Type | Individual |
| Full Name | TAMRA ELLEN ST JOHN |
| Credential | LVN |
| Practice Address |
171 Balboa Ave San Jose CA 95116-1310 |
| Practice Telephone | 4192603262 |
| Mailing Telephone | 4192603262 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 713484 | CA | Nursing Service Providers |
| Street Address |
171 BALBOA AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| 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 |
|---|---|---|---|---|
| 1982230728 | Elizabeth Socorro Guerra | Licensed Vocational Nurse | 2418 Hecate Pl, San Jose, CA 95124-3311 | 2020-03-12 |
| 1487173878 | Eliza Garma Daquioag | Licensed Vocational Nurse | 3640 Heathcot Ct, San Jose, CA 95121-1442 | 2017-09-17 |
| 1427598259 | Ngoc Hua | Licensed Vocational Nurse | 2130 Chisin St, San Jose, CA 95121-3230 | 2017-02-27 |
| 1669918264 | Oliva Torrestorija-santillan | Licensed Vocational Nurse | 2080 Southwest Expy, 77, San Jose, CA 95126-4672 | 2017-01-06 |
| 1104299874 | Daniel Austin | Licensed Vocational Nurse | 5502 Camden Ave Apt B5, San Jose, CA 95124-6405 | 2015-11-03 |
| 1851760763 | Sisamouth Sipaseuth Thomure | Licensed Vocational Nurse | 650 S 5th St, San Jose, CA 95112-5636 | 2015-09-21 |
| 1154709871 | Amber Enlow | Licensed Vocational Nurse | 102 Lammerhaven Ct, San Jose, CA 95111-3715 | 2015-05-14 |
| 1437543568 | Jenetta Marie Wysinger | Licensed Vocational Nurse | 3467 Tully Rd, San Jose, CA 95148-2152 | 2015-03-26 |
| 1548652290 | My-linh Le | Licensed Vocational Nurse | 1890 Schulte Dr, 103, San Jose, CA 95133-2158 | 2015-03-04 |
| 1518355742 | Madison Ruazol Garcia | Licensed Vocational Nurse | 1680 Goldentree Dr, San Jose, CA 95131-1926 | 2014-12-22 |
| Find all providers in SAN JOSE | ||||
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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.