RAE SHELSTON MCINTOSH


Address: 1007 Myrth Ave, Inglewood, CA 90301
Phone: 3104124191

RAE SHELSTON MCINTOSH (NPI# 1710409321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710409321
Entity Type Individual
Full Name RAE SHELSTON MCINTOSH
Credential LVN
Practice Address 1007 Myrth Ave
Inglewood
CA 90301
Mailing Address 4760 Sepulveda Blvd
Culver City
CA 90230-4820
Practice Telephone 3104124191
Practice Fax Number 3104123942
Mailing Telephone 3103906612
Mailing Fax Number 3103985690
Enumeration Date 2017-07-14
Last Update Date 2017-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN275974 CA Nursing Service Providers

Office Location

Street Address 1007 MYRTH AVE
City INGLEWOOD
State CA
Zip Code 90301

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NPI Name Taxonomy Address Enumeration
1548897945 Genevieve V. Angel Registered Nurse 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 2020-03-25
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1043841562 Evelyn Jones Social Worker 555 E. Hardy Street, Inglewood, Ca, CA 90301 2020-02-03
1447896444 Coral Dabarera Edelson Dietitian, Registered 110 North La Brea Ave, Inglewood, CA 90301 2019-11-25
1821642125 Jennifer Robert Umoh Student in an Organized Health Care Education/Training Program 412 E Florence Avenue, Inglewood, CA 90301 2019-07-25
1821567751 Esther Voltaire Behavior Technician 619 E Arbor Vitae St, Inglewood, CA 90301 2018-11-21
1902372832 Pool Medical Supply Inc Durable Medical Equipment & Medical Supplies 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 2018-10-18
1174003594 Xelnt Healthcare Inc. Clinic/Center 501 E Hardy St Ste 425, Inglewood, CA 90301 2018-08-15
1477093789 Lewis E Logan II Counselor 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 2017-03-06
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336795665 Precious Jamie Storey Licensed Vocational Nurse 462 Edgewood St, Inglewood, CA 90302-3448 2019-08-13
1063066546 Yasheika Pink Brown Licensed Vocational Nurse 1131 Centinela Ave Apt 3, Inglewood, CA 90302-6360 2019-08-01
1902393432 Cecile Logan Licensed Vocational Nurse 318 E Hillcrest Blvd Ste 6, Inglewood, CA 90301-2438 2018-04-19
1902339336 Monique Cutliff Licensed Vocational Nurse 301 E Tamarack Ave, Inglewood, CA 90301-2716 2017-04-03
1376099267 Makasha Sims Licensed Vocational Nurse 4450 W. Century Bld., Inglewood, CA 90304 2016-08-30
1417399189 Kimberly Michelle Stovall Licensed Vocational Nurse 2635 W Imperial Hwy Apt 3, Inglewood, CA 90303-0920 2013-07-23
1720364490 Barbara Jean Mcadory Licensed Vocational Nurse 2618 W 112 St., Inglewood, CA 90303-2415 2011-10-26
1467736173 Lashaun Smith Licensed Vocational Nurse 10725 S 3rd Ave, Inglewood, CA 90303-1736 2011-09-30
1306143581 Vanessa Leshana Boykin Licensed Vocational Nurse 611 E Kelso St Apt 5, Inglewood, CA 90301-5047 2011-02-23
1508199191 Augustina Urubusi Licensed Vocational Nurse 821 Glenway Drive, #4, Inglewood, CA 90302-3862 2009-09-14
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Competitor

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City INGLEWOOD
Zip Code 90301

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Dataset Information

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.

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