JESSICA NICOLE CHURCHVILLE (NPI# 1366915225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366915225 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE CHURCHVILLE |
| Practice Address |
482 4th Ave Portola CA 96122-9235 |
| Practice Telephone | 7022095809 |
| Mailing Telephone | 7022095809 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | NV | Nursing Service Related Providers |
| Street Address |
482 4TH AVE |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1629676127 | Pauline Monillas | Nurse's Aide | 22962 Caminito Rio, Laguna Hills, CA 92653-1124 | 2020-10-16 |
| 1619582327 | Karen M Quevedo | Nurse's Aide | 831 Orchid Ct Apt C, Upland, CA 91786-3739 | 2020-09-10 |
| 1982216370 | Joy Baltazar Penafiel | Nurse's Aide | 5218 E Hanbury St, Long Beach, CA 90808-1846 | 2020-08-18 |
| 1790306223 | Deseree Kimalee Armstead | Nurse's Aide | 3753 Mission Ave Ste A-1, Oceanside, CA 92058-1471 | 2020-05-06 |
| 1710508627 | Mike Adams Bryant | Nurse's Aide | 2910 S Archibald Ave Ste A421, Ontario, CA 91761-7323 | 2020-05-01 |
| 1902448442 | Emily Lugo | Nurse's Aide | 3300 Truxtun Ave Fl 1, Bakersfield, CA 93301-3137 | 2019-10-16 |
| 1114568284 | Jeremias Morales Buted | Nurse's Aide | 1 Berni Ct Apt 5, Millbrae, CA 94030-1438 | 2019-09-30 |
| 1578114757 | Donyelle Miller | Nurse's Aide | 3819 Vineyard Ave Apt 74, Pleasanton, CA 94566-6743 | 2019-09-27 |
| 1477104958 | Luis Puente Zepeda | Nurse's Aide | 1883 Shamrock Ave, Santa Clara, CA 95051-2419 | 2019-09-25 |
| 1508429184 | Bjz LLC | Nurse's Aide | 42240 Green Way Ste A, Palm Desert, CA 92211-5183 | 2019-04-18 |
| Find all providers with the same taxonomy | ||||
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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.