LAVONDA FLANNIGAN (NPI# 1740697846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740697846 |
| Entity Type | Individual |
| Full Name | LAVONDA FLANNIGAN |
| Practice Address |
9890 County Farm Rd Ste 2 Riverside CA 92503 |
| Mailing Address |
9825 Magnolia Ave Ste B Riverside CA 92503-3565 |
| Practice Telephone | 9515092499 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 281266 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 11241000383 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2080 S E St, Ste 100, San Bernardino, CA 924082773 | 9093889191 |
| Street Address |
9890 COUNTY FARM RD STE 2 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699709865 | Georgea Madeira | Marriage & Family Therapist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2006-07-11 |
| 1699387019 | Deshan White | Peer Specialist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2020-08-18 |
| 1306458823 | Shannon Lynette Ermshar | Peer Specialist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2020-08-17 |
| 1619505088 | Edgar J Cervantes | Marriage & Family Therapist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2020-03-31 |
| 1528693090 | Cecelia Ariane Ali | Marriage & Family Therapist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2020-03-05 |
| 1790318202 | Venessa Hernandez | Peer Specialist | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2020-02-13 |
| 1184263865 | Alejandro Ulloa | Counselor | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2019-12-30 |
| 1164067534 | Da'meon Sherell Wilkes | Social Worker | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2019-11-08 |
| 1235773763 | Paul Joseph Dinsmore | Counselor | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2019-10-28 |
| 1316588262 | Joyce Munyan | Licensed Vocational Nurse | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2019-10-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1588284228 | Keri Lynn Martinez | Licensed Vocational Nurse | 11563 Park Trails St, Riverside, CA 92505-5719 | 2020-04-23 |
| 1518591346 | Egladely Calderon Vela | Licensed Vocational Nurse | 3390 Country Village Rd Apt 2307, Riverside, CA 92509-1086 | 2020-03-02 |
| 1982235594 | Cherie Pena Grajeda | Licensed Vocational Nurse | 6473 Thunder Bay Trl, Riverside, CA 92509-0147 | 2020-02-01 |
| 1659912657 | Sidra Ann Wilson | Licensed Vocational Nurse | 2085 Rustin Ave # 5, Riverside, CA 92507-2498 | 2019-10-01 |
| 1326692765 | Betty O. Aimiuwu | Licensed Vocational Nurse | 2841 Grace St Apt 2, Riverside, CA 92504-4750 | 2019-07-24 |
| 1720590342 | Melva Elena Renteria | Licensed Vocational Nurse | 9890 County Farm Rd # 3, Riverside, CA 92503-3505 | 2017-11-05 |
| 1861917213 | Ta'neisha Monique-grady Riley | Licensed Vocational Nurse | 9890 County Farm Rd Bldg 3, Riverside, CA 92503-3505 | 2017-08-07 |
| 1801324017 | Janine Carol Williams | Licensed Vocational Nurse | 4311 University Ave, Riverside, CA 92501-3143 | 2017-06-01 |
| 1215311485 | Shannon Smail | Licensed Vocational Nurse | 5130 Sierra St, Riverside, CA 92504-2261 | 2015-07-16 |
| 1295112233 | Sommer Henry | Licensed Vocational Nurse | 6617 Palm Ave, Riverside, CA 92506-2345 | 2015-04-28 |
| Find all providers in RIVERSIDE | ||||
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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.