JENETTE FOGG (NPI# 1841381266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841381266 |
| Entity Type | Individual |
| Full Name | JENETTE FOGG |
| Practice Address |
4th & Inner Loop Fort Irwin CA 92310 |
| Mailing Address |
5250b Chuckwalla Ct Fort Irwin CA 92310-2110 |
| Practice Telephone | 7603803185 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 23-33050-112 | KS | Nursing Service Providers |
| Street Address |
4TH & INNER LOOP |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669420576 | Weed Army Community Hospital | Military Hospital | 4th & Inner Loop, Fort Irwin, CA 92310 | 2006-05-04 |
| 1831347046 | Tanya R Kavanaugh | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2008-08-29 |
| 1013192186 | Elizabeth Ann Wells | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2008-01-08 |
| 1306031604 | Holly Jo Massey | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2007-09-10 |
| 1508057290 | Margaret A Hawthorne | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2007-08-07 |
| 1306970496 | Michael Warnock Jr. | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2007-03-14 |
| 1336201458 | Vincent Gales | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2006-12-14 |
| 1164506119 | Barbara Jeannette King | Registered Nurse | 4th & Inner Loop, Fort Irwin, CA 92310-5109 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1417283888 | Donna Jean Mays | Licensed Practical Nurse | 3rd Avenue and Inner Loop Road, Bldg 166, Fort Irwin, CA 92310 | 2009-10-20 |
| 1316189178 | Mary Jee Jean Toledo Sabal | Licensed Practical Nurse | 2407 Anzio St, Fort Irwin, CA 92310-1611 | 2009-03-25 |
| 1114184801 | Christopher Lee Myer | Licensed Practical Nurse | 4th St and Inner Loop, Fort Irwin, CA 92310 | 2008-05-20 |
| 1871781864 | Sarah Laine Mcdonald | Licensed Practical Nurse | 3858 Valley Forge St Apt A, Fort Irwin, CA 92310-2501 | 2007-10-04 |
| 1013117027 | Gary Anthony Gerlinger | Licensed Practical Nurse | 4 and Inner Loop, Fort Irwin, CA 92310-5109 | 2007-07-19 |
| 1306915293 | Nichole D Davis | Licensed Practical Nurse | 4th &inner Loop, Fort Irwin, CA 92310 | 2006-11-07 |
| 1861450843 | Janet Joann Latimer | Licensed Practical Nurse | 3898 Granite Pass Rd, Fort Irwin, CA 92310-1854 | 2006-05-01 |
| 1518088426 | Holly Joan Berens | Licensed Practical Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-04-02 |
| 1477672723 | Christopher N Shepherd | Licensed Practical Nurse | 4th and Inner Loop, Fort Irwin, CA 92310 | 2007-03-28 |
| 1184784852 | Jeremy Hahn | Licensed Practical Nurse | 4th Street and Inner Loop, Fort Irwin, CA 92310 | 2006-12-11 |
| Find all providers in FORT IRWIN | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.