MRS. JACQUELINE R. PROPHETT (NPI# 1811250236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811250236 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE R. PROPHETT |
| Credential | RN |
| Practice Address |
5300 Angeles Vista Blvd Los Angeles CA 90043 |
| Practice Telephone | 3232954555 |
| Practice Fax Number | 3232953021 |
| Mailing Telephone | 3232954555 |
| Mailing Fax Number | 3232953021 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN507420 | CA | Nursing Service Providers |
| Street Address |
5300 ANGELES VISTA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790846913 | Barry Steven Feinberg | Social Worker | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2006-12-12 |
| 1730780123 | Michelle Esparza | Marriage & Family Therapist | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2020-11-03 |
| 1952728768 | Howard Tan | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2014-03-19 |
| 1225459688 | Brenda Gutierrez | Case Manager/Care Coordinator | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2014-01-02 |
| 1891038550 | Dominique Shaunte Reynolds | Rehabilitation Practitioner | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2013-04-01 |
| 1528309895 | Maryanne Joy Tolentino Atienza | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2013-03-11 |
| 1871834143 | Tacara M. Fleming | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2013-03-11 |
| 1194077461 | Autumn Nechele Glass | Counselor | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-10-10 |
| 1568713154 | Nellie Mae Haley | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-09-24 |
| 1710237144 | Chevonne Larena Almachar | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1376143065 | Darya Shmidt | Registered Nurse | 3205 Los Feliz Blvd Apt 13-207, Los Angeles, CA 90039-1518 | 2020-10-30 |
| 1801493093 | Robin Abasolo | Registered Nurse | 4700 W Sunset Blvd # 3b, Los Angeles, CA 90027-6082 | 2020-10-01 |
| 1861008070 | Amarachi C Uchenna | Registered Nurse | 3686 S Centinela Ave Apt 16, Los Angeles, CA 90066-3150 | 2020-09-22 |
| 1013523935 | Diana Glasner | Registered Nurse | 11960 Montana Ave Apt 103, Los Angeles, CA 90049-5029 | 2020-09-16 |
| 1568071082 | Kimberly Bennett | Registered Nurse | 3629 Beethoven St, Los Angeles, CA 90066-3040 | 2020-07-30 |
| 1245857499 | Elizabeth A Gyamfi | Registered Nurse | 400 S Detroit St Apt 217, Los Angeles, CA 90036-3549 | 2020-07-02 |
| 1710504360 | Ane Dourgoutian | Registered Nurse | 1963 N New Hampshire Ave, Los Angeles, CA 90027-1818 | 2020-06-30 |
| 1417573262 | Salmeen Andkhoy-sidky | Registered Nurse | 11600 Wilshire Blvd Ste 410, Los Angeles, CA 90025-1785 | 2020-06-17 |
| 1396368411 | Kimberly G Smith Galindo | Registered Nurse | 1043 W 52nd St, Los Angeles, CA 90037-3511 | 2020-05-22 |
| 1790308203 | Christina Alyssa Dejesus | Registered Nurse | 1400 Los Palos St, Los Angeles, CA 90023-3268 | 2020-05-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.