MRS. ROCQUEL MACK (NPI# 1184274029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184274029 |
| Entity Type | Individual |
| Full Name | MRS. ROCQUEL MACK |
| Credential | LVN |
| Practice Address |
2131 Shelley Circle Corona CA 92880 |
| Practice Telephone | 9517337174 |
| Mailing Telephone | 9517337174 |
| Mailing Fax Number | 9512561517 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN147251 | CA | Nursing Service Providers |
| Street Address |
2131 SHELLEY CIRCLE |
| City | CORONA |
| State | CA |
| Zip Code | 92880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| 1114441193 | Yen and Dimitri Dental Corporation | Dentist | 13334 Limonite Ave, Suite 120, Eastvale, CA 92880 | 2017-08-01 |
| Find all providers in zip 92880 | ||||
| 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 |
|---|---|---|---|---|
| 1518565654 | Elva Gisselle Shul | Licensed Vocational Nurse | 200 S Main St Ste 120, Corona, CA 92882-2212 | 2020-10-12 |
| 1033692009 | Felicia Abena Agyemang Wiredu | Licensed Vocational Nurse | 350 Shady Oak Dr, Corona, CA 92882-5943 | 2018-09-14 |
| 1467840363 | Latonia Cullens | Licensed Vocational Nurse | 1525 Border Ave Apt D, Corona, CA 92882-7018 | 2014-12-30 |
| 1154668143 | Brendan Okoro | Licensed Vocational Nurse | 7701 Nut Grove Ave, Corona, CA 92880-3218 | 2013-01-10 |
| 1083965180 | Celena Janice Lopez | Licensed Vocational Nurse | 1803 El Toro Cir, Corona, CA 92882-3733 | 2012-09-28 |
| 1629342142 | Sandra Renay Robinson | Licensed Vocational Nurse | 2280 Treemont Place, Apt 104, Corona, CA 92879 | 2012-03-01 |
| 1851677967 | Janelle Lee | Licensed Vocational Nurse | 1450 San Almada Rd, Corona, CA 92882-7900 | 2011-11-02 |
| 1760713846 | Mary Agnes Kawere | Licensed Vocational Nurse | 14563 Alder Dr, Corona, CA 92880-9616 | 2010-01-29 |
| 1982934212 | Jaime Ortega | Licensed Vocational Nurse | 982 White Ranch Cir, Corona, CA 92881-4742 | 2010-01-08 |
| 1003142464 | Elizabeth Evans | Licensed Vocational Nurse | 2603 Las Mercedes Ln, Corona, CA 92879-7798 | 2009-10-20 |
| Find all providers in CORONA | ||||
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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.