SAKEDRA LATRICE CLARK (NPI# 1134497332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134497332 |
| Entity Type | Individual |
| Full Name | SAKEDRA LATRICE CLARK |
| Practice Address |
29201 Sandpiper Dr Lake Elsinore CA 92530-1759 |
| Practice Telephone | 9512268677 |
| Mailing Telephone | 9512268677 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN213352 | CA | Nursing Service Providers |
| Street Address |
29201 SANDPIPER DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| 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 |
|---|---|---|---|---|
| 1831659960 | Loann Nguyen Rull | Licensed Vocational Nurse | 33495 Follman Way, Lake Elsinore, CA 92530-6103 | 2019-03-24 |
| 1215405972 | Tiffany Danita Sarpy | Licensed Vocational Nurse | 16460 Joy St Apt D2, Lake Elsinore, CA 92530-7972 | 2018-11-10 |
| 1629424213 | Harold Andrew Palmer IIi | Licensed Vocational Nurse | 41122 Pascali Ln, Lake Elsinore, CA 92532-1546 | 2016-05-12 |
| 1235536483 | Eyvonne Jacskon | Licensed Vocational Nurse | 507 Ellis St, Lake Elsinore, CA 92530-3828 | 2014-12-03 |
| 1154676112 | Edgar Lopez | Licensed Vocational Nurse | 3392 Spruce St, Lake Elsinore, CA 92530-1882 | 2012-07-16 |
| 1952670721 | Demestrice Sherise Mathis V | Licensed Vocational Nurse | 32845 Santa Cruz, 3822newark Ct, Lake Elsinore, CA 92530-0468 | 2011-12-22 |
| 1982893616 | Shelley L Mcroberts | Licensed Vocational Nurse | 31931 Rosewood Ct, Lake Elsinore, CA 92532-2608 | 2007-10-18 |
| 1548457492 | Duilio Antonio Leveratto | Licensed Vocational Nurse | 21000 Canyon Ridge Dr, Lake Elsinore, CA 92532-0418 | 2007-09-25 |
| 1770774069 | Melony Smith | Licensed Vocational Nurse | 18073 Kimberly Sue Ct, Lake Elsinore, CA 92532-1958 | 2007-08-05 |
| 1831389220 | Rikki Reane Grisso | Licensed Vocational Nurse | 208 Davis St, Lake Elsinore, CA 92530-3226 | 2007-07-31 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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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.