MEGAN SUNDBLAD (NPI# 1548736879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548736879 |
Entity Type | Individual |
Full Name | MEGAN SUNDBLAD |
Practice Address |
1860 Walnut St Red Bluff CA 96080-3611 |
Mailing Address |
20200 Live Oak Rd Red Bluff CA 96080 UM |
Practice Telephone | 2097285956 |
Enumeration Date | 2018-10-14 |
Last Update Date | 2018-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | CA | Nursing Service Providers |
Street Address |
1860 WALNUT ST |
City | RED BLUFF |
State | CA |
Zip Code | 96080-3611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245253475 | Jenna Quinn | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2006-07-26 |
1902414923 | Nathan Watson | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
1285272781 | Lorenna Leon | Community Based Residential Treatment Facility, Mental Illness | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-12-15 |
1588223036 | Amber L Wilson | Counselor | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-06-09 |
1003378381 | Rachael Waltz | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2019-04-04 |
1790253987 | Desiree De Palma | Home Health Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-06 |
1144795311 | Noemi Avila-reyes | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2018-10-03 |
1194202366 | Morgan Vazquez | Marriage & Family Therapist | 1860 Walnut St, Red Bluff, CA 96080 | 2018-07-20 |
1760996870 | Amanda Mackenzie Swanson | Case Manager/Care Coordinator | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-28 |
1306359096 | Shanalee Cruz | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2017-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
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Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.