MRS. ALICIA M JENNINGS (NPI# 1336494129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336494129 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA M JENNINGS |
| Practice Address |
2933 El Nido Dr Altadena CA 91001-4529 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700429057 | Alicia Renee Jennings | Specialist/Technologist, Other | 4624 E Sands Dr, Phoenix, AZ 85050-6862 | 2019-10-18 |
| 1366405037 | Alicia M Jennings | Internal Medicine | 101 Quartz Drive, Suite 201, Villa Rica, GA 30180 | 2006-04-11 |
| 1558814590 | Alicia Jennings | Social Worker | 66 Sunset Strip Ste 302, Succasunna, NJ 07876 | 2016-07-26 |
| Street Address |
2933 EL NIDO DR |
| City | ALTADENA |
| State | CA |
| Zip Code | 91001-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821124942 | Allan A Mcdonald | Psychiatry & Neurology | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2007-02-25 |
| 1326695156 | Sharon Kwon | Social Worker | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2019-08-26 |
| 1508301599 | Hathaway-sycamores Child and Family Services | Counselor | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2016-12-29 |
| 1962747279 | Grace Yang | Marriage & Family Therapist | 2933 El Nido Dr, Altadena, CA 91001 | 2012-11-28 |
| 1720331416 | Jose Partida | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-18 |
| 1174876866 | Yvette Jimenez | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-18 |
| 1275886962 | Mary M Flippen | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-18 |
| 1265785950 | Jorge Razo | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-18 |
| 1538412226 | Eric Franklin Prince | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-18 |
| 1184976045 | Juan Ignacio Gonzalez | Rehabilitation Practitioner | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
| 1629592506 | Alfredo Manuel Mercado Jr. | Rehabilitation Practitioner | Tobinworld Mental Health, 920 E Boradway Street, Glendale, CA 91001 | 2017-08-01 |
| 1477000909 | Christopher Harris Jr. | Case Manager/Care Coordinator | 856 Figueroa Dr, Altadena, CA 91001 | 2016-09-01 |
| 1669825535 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3323 Marengo Ave, Altadena, CA 91001 | 2016-07-15 |
| 1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
| 1750741484 | Greta Francine Johnson | Psychiatry & Neurology | 800 S. Barranca, Covina, CA 91001 | 2016-02-23 |
| 1205211463 | Oscar Morales Aguirre | Licensed Vocational Nurse | 2145 North Marengo Ave, Altadena, CA 91001 | 2015-07-29 |
| 1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
| 1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
| 1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
| Find all providers in zip 91001 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720340284 | Terri Genai Jenkins | Rehabilitation Practitioner | 177 W Poppyfields Dr, Altadena, CA 91001-4361 | 2012-06-11 |
| 1295007771 | Manuel M Moreno | Rehabilitation Practitioner | 2933 N El Nido Dr., El Nido Campus, Altadena, CA 91104 | 2012-01-31 |
| 1164718847 | Leslie Ann Turner | Rehabilitation Practitioner | 2046 N Allen Ave., Altadena, CA 91001-3424 | 2011-06-22 |
| 1629305875 | Adisha Adena White-emuze | Rehabilitation Practitioner | 748 1/2 Ventura St, Altadena, CA 91001-4967 | 2009-11-09 |
| 1134386329 | Stafford O'brian Evans | Rehabilitation Practitioner | 760 W Mountain View, Altadena, CA 91001 | 2008-05-16 |
| 1750995163 | Dareishia Emma Morris | Rehabilitation Practitioner | 2235 Lake Ave Ste 211, Altadena, CA 91001-2491 | 2020-09-02 |
| 1598380446 | Jalicia Tania Griffin | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-16 |
| 1407471360 | Lorenzo Maya | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-16 |
| 1275158222 | Shannon E Crane | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2020-06-15 |
| 1093357782 | Nina Elizabeth Beasley | Rehabilitation Practitioner | 760 Mountain View St, Altadena, CA 91001-4996 | 2019-10-14 |
| Find all providers in ALTADENA | ||||
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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.