RENEE NICOLE CARRASCO (NPI# 1417400912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417400912 |
| Entity Type | Individual |
| Full Name | RENEE NICOLE CARRASCO |
| Credential | LVN |
| Practice Address |
777 E Santa Clara St San Jose CA 95112-1934 |
| Practice Telephone | 4089774504 |
| Mailing Telephone | 4089774504 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN 265731 | CA | Nursing Service Providers |
| Street Address |
777 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528258027 | Francis Chikeung Fong | Social Worker | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2007-07-31 |
| 1275992406 | County of Santa Clara | Durable Medical Equipment & Medical Supplies | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2016-02-16 |
| 1982087680 | Ruth Sheridan | Nurse Practitioner | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2015-06-30 |
| 1356736029 | County of Santa Clara | Clinic/Center | 777 E Santa Clara St, Vhc At Downtown Clinic, San Jose, CA 95112-1934 | 2015-03-31 |
| 1568869337 | Rhoda Le | Registered Nurse | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2014-11-22 |
| 1144625179 | Michael Geller | Physician Assistant | 777 E Santa Clara St, San Jose, CA 95112 | 2014-11-04 |
| 1962805416 | Chui-yee Lo | Pharmacist | 777 E Santa Clara St, San Jose, CA 95112 | 2014-09-29 |
| 1235543240 | Hang Thi Nguyen | Nurse Practitioner | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2014-06-17 |
| 1083957997 | Todd C. Fong | Internal Medicine | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2013-03-28 |
| 1972857258 | Karen Oh | Pharmacist | 777 E Santa Clara St, San Jose, CA 95112-1934 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| 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 |
|---|---|---|---|---|
| 1053919084 | Tamra Ellen St John | Licensed Vocational Nurse | 171 Balboa Ave, San Jose, CA 95116-1310 | 2020-10-12 |
| 1982230728 | Elizabeth Socorro Guerra | Licensed Vocational Nurse | 2418 Hecate Pl, San Jose, CA 95124-3311 | 2020-03-12 |
| 1487173878 | Eliza Garma Daquioag | Licensed Vocational Nurse | 3640 Heathcot Ct, San Jose, CA 95121-1442 | 2017-09-17 |
| 1427598259 | Ngoc Hua | Licensed Vocational Nurse | 2130 Chisin St, San Jose, CA 95121-3230 | 2017-02-27 |
| 1669918264 | Oliva Torrestorija-santillan | Licensed Vocational Nurse | 2080 Southwest Expy, 77, San Jose, CA 95126-4672 | 2017-01-06 |
| 1104299874 | Daniel Austin | Licensed Vocational Nurse | 5502 Camden Ave Apt B5, San Jose, CA 95124-6405 | 2015-11-03 |
| 1851760763 | Sisamouth Sipaseuth Thomure | Licensed Vocational Nurse | 650 S 5th St, San Jose, CA 95112-5636 | 2015-09-21 |
| 1154709871 | Amber Enlow | Licensed Vocational Nurse | 102 Lammerhaven Ct, San Jose, CA 95111-3715 | 2015-05-14 |
| 1437543568 | Jenetta Marie Wysinger | Licensed Vocational Nurse | 3467 Tully Rd, San Jose, CA 95148-2152 | 2015-03-26 |
| 1548652290 | My-linh Le | Licensed Vocational Nurse | 1890 Schulte Dr, 103, San Jose, CA 95133-2158 | 2015-03-04 |
| Find all providers in SAN JOSE | ||||
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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.