GENAI RENZ (NPI# 1831630847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831630847 |
| Entity Type | Individual |
| Full Name | GENAI RENZ |
| Credential | LVN |
| Practice Address |
2225 Challenger Way Santa Rosa CA 95407-5441 |
| Practice Telephone | 7075768181 |
| Practice Fax Number | 7075655183 |
| Mailing Telephone | 7075768181 |
| Mailing Fax Number | 7075655183 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN282037 | CA | Nursing Service Providers |
| Street Address |
2225 CHALLENGER WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154399723 | Lisa Ann Moran | Psychiatry & Neurology | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2006-03-09 |
| 1851904510 | Jessica Lopez | Technician/Technologist | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-08-24 |
| 1730798273 | Jenny Phung | Counselor | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-07-30 |
| 1891319455 | Maria S Baron | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-29 |
| 1639790439 | Beatrice Muthoni Nganga | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-03 |
| 1528693363 | Erica Adele Hartman | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-03-11 |
| 1336772540 | Jillian Leach | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-02-16 |
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 1255898524 | Carol Lynn Galipo | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-02-22 |
| 1063977460 | Gardner Carlson | Licensed Psychiatric Technician | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1215403126 | Azucena Rojas Tena | Licensed Vocational Nurse | 5240 Old Redwood Hwy Apt 5, Santa Rosa, CA 95403-7836 | 2018-10-17 |
| 1093293243 | Juanita Zepeda | Licensed Vocational Nurse | 21204 Hooks and Hodges Rd, Santa Rosa, TX 78593-2018 | 2018-07-31 |
| 1366980542 | Charlene Abayon | Licensed Vocational Nurse | 1373 Funston Dr, Santa Rosa, CA 95407-6923 | 2017-02-07 |
| 1568870533 | Marilyn Rodriguez-maldonado | Licensed Vocational Nurse | 1901 Cleveland Ave #b, Santa Rosa Treatment Program, Santa Rosa, CA 95401 | 2014-07-23 |
| 1437614849 | Chanda M. Zanga | Licensed Vocational Nurse | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-02-10 |
| 1679074710 | Sylvia Cook - Udall | Licensed Vocational Nurse | 2200 Range Ave, Santa Rosa, CA 95403-9471 | 2018-02-23 |
| 1336655695 | Jason Michael King | Licensed Vocational Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2017-12-22 |
| 1023547403 | Brenda Jo Brown | Licensed Vocational Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-06-08 |
| 1326575689 | Aaron O Quinones Sosa | Licensed Vocational Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2017-05-17 |
| 1437601093 | Yolanda M. Spencer | Licensed Vocational Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2016-10-31 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.