MYRTLE JEAN KRUSHALL (NPI# 1396957932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396957932 |
| Entity Type | Individual |
| Full Name | MYRTLE JEAN KRUSHALL |
| Credential | NP |
| Practice Address |
3838 Sherman Dr Suite 5 Riverside CA 92503-4001 |
| Practice Telephone | 9513431700 |
| Practice Fax Number | 9513431777 |
| Mailing Telephone | 9513431700 |
| Mailing Fax Number | 9513431777 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1882 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN | 221779 | 01 |
| CA | NP | 1882 | 01 |
| Street Address |
3838 SHERMAN DR SUITE 5 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906140 | Carl Wolnisty | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2005-07-19 |
| 1053855585 | Chandrasekhar Eadara | Pharmacist | 3838 Sherman Dr, Ste 1, Riverside, CA 92503-4001 | 2016-12-19 |
| 1316319106 | Laura Marie Aguilar | Nurse Practitioner | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2015-10-20 |
| 1063899698 | Inland Pediatrics, Inc. | Pediatrics | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4001 | 2015-05-04 |
| 1144597444 | Paul Micheal Hupp | Physician Assistant | 3838 Sherman Dr, Suite 3, Riverside, CA 92503-4001 | 2011-11-30 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| 1437321155 | Sharon Laughlin Inc | Legal Medicine | 3838 Sherman Dr, 3, Riverside, CA 92503-4001 | 2008-04-02 |
| 1982875704 | Carl Wolnisty Md Inc | Internal Medicine | 3838 Sherman Dr, Suite 7, Riverside, CA 92503-4098 | 2008-03-19 |
| 1821278169 | Hajera Sultana Md., Inc | Family Medicine | 3838 Sherman Dr, Ste 12, Riverside, CA 92503-4001 | 2007-11-04 |
| 1124207410 | Robert E Parker Dpm | Podiatrist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503-4001 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214074 | Aizzel Ramas Trieu | Nurse Practitioner | 3524 Jackfrost Ct, Riverside, CA 92503-4500 | 2020-01-13 |
| 1518504059 | Ragi Sadek | Nurse Practitioner | 12378 Jacaranda Way, Riverside, CA 92503-7048 | 2019-12-03 |
| 1710522255 | Patricia Denise Dupree | Nurse Practitioner | 14200 Meridian Pkwy # 101, Riverside, CA 92518-3044 | 2019-11-07 |
| 1750932141 | Huynh Ngoc Tu Nguyen | Nurse Practitioner | 9041 Magnolia Ave Ste 302, Riverside, CA 92503-3957 | 2019-09-26 |
| 1174030506 | Sible Rebello | Nurse Practitioner | 3660 Park Sierra Dr Ste 208, Riverside, CA 92505-3071 | 2018-01-08 |
| 1922519651 | Veronica Ann Pablo Miller | Nurse Practitioner | 8990 Garfield St Ste 8, Riverside, CA 92503-3922 | 2017-10-20 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| 1336463652 | Emily Angelica Agito Dela Rosa | Nurse Practitioner | 4361 Latham St Ste 270, Riverside, CA 92501-4332 | 2010-03-15 |
| 1497969562 | Candy Nordahl | Nurse Practitioner | 4440 Brockton Ave Ste 200, Riverside, CA 92501-4026 | 2007-05-09 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on MYRTLE JEAN KRUSHALL.
| 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.