BRADLEY IANNUCCI (NPI# 1255846341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255846341 |
Entity Type | Individual |
Full Name | BRADLEY IANNUCCI |
Credential | LVN |
Practice Address |
7901 Frost St San Diego CA 92123-2701 |
Mailing Address |
4175 Bachman Place Apt 52 San Diego CA 92103 |
Practice Telephone | 6196076763 |
Mailing Telephone | 6196076763 |
Enumeration Date | 2017-12-11 |
Last Update Date | 2017-12-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | 259513 | CA | Nursing Service Providers |
Street Address |
7901 FROST ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-2701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
1780285650 | Michelle Aubrey Hawkes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-11-05 |
1144830548 | Erin Stiefel | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2020-07-31 |
1043832314 | Sharan Dhoot | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2020-05-10 |
1295375079 | Natsurang Chong Corporation | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2020-01-09 |
1073161329 | Andrea Boettcher | Internal Medicine | 7901 Frost St, San Diego, CA 92123-2701 | 2019-08-29 |
1790337368 | Sarah Norwid | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2019-07-12 |
1235629296 | Celeste Briones | Pharmacist | 7901 Frost St, San Diego, CA 92123-2701 | 2018-05-15 |
1952818601 | Jessica J Reyes | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123 | 2018-01-03 |
1265957500 | Mary Elizabeth Burwell | Nurse Practitioner | 7901 Frost St, San Diego, CA 92123-2701 | 2017-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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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 |
---|---|---|---|---|
1952908782 | Ying Pan | Licensed Vocational Nurse | 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 | 2020-10-05 |
1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
1750909156 | Hillary Carlson | Licensed Vocational Nurse | 4651 36th St, San Diego, CA 92116-3642 | 2020-07-12 |
1841816501 | Cristiana Paris Zajac | Licensed Vocational Nurse | 2654 Worden St Unit 106, San Diego, CA 92110-5849 | 2020-06-18 |
1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
1720555659 | Noelle Dizon | Licensed Vocational Nurse | 3585 Acacia St, San Diego, CA 92113-3130 | 2018-10-29 |
1285114728 | Tashiya Jean Miller | Licensed Vocational Nurse | 3053 Chamoune Ave, San Diego, CA 92105-4307 | 2018-08-15 |
1013402445 | Eduardo Carrera | Licensed Vocational Nurse | 11210 Corte Playa Corona, San Diego, CA 92124-4134 | 2018-06-27 |
1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
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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.