JENNIFER DUTTON (NPI# 1992966212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992966212 |
| Entity Type | Individual |
| Full Name | JENNIFER DUTTON |
| Credential | BSN, PHN,RN |
| Practice Address |
1120 S Dora St Ukiah CA 95482-6340 |
| Practice Telephone | 7074722600 |
| Practice Fax Number | 7074722714 |
| Mailing Telephone | 7074722600 |
| Mailing Fax Number | 7074722714 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
526517 | CA | Nursing Service Providers |
| N | 163WI0600X |
Registered Nurse Specialization: Infection Control |
526517 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275623977 | Jennifer Helen Dutton | Case Manager/Care Coordinator | 6212 Deep Creek Ct, Prospect, KY 40059-9344 | 2006-10-13 |
| 1801429436 | Jennifer Jo Dutton | Counselor | 455 K St, Crescent City, CA 95531-4107 | 2020-02-21 |
| 1629524103 | Jennifer Dutton | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-08-25 |
| 1710236088 | Jennifer Felts Dutton | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2012-09-02 |
| 1376622464 | Jennifer Marion Dutton | Occupational Therapist | 806 North Main Street, Laconia, NH 03246 | 2006-11-02 |
| Street Address |
1120 S DORA ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811005440 | Carol Lynne Kelsey | Nurse Practitioner | 1120 S Dora St, Ukiah, CA 95482-6340 | 2006-08-25 |
| 1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
| 1265073977 | Melinda Joann-holt Driggers | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-10-03 |
| 1437708450 | Paul Murguia IIi | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-09-11 |
| 1548822851 | Jessica Toste | Licensed Vocational Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-07-08 |
| 1063985398 | Mimi Whittaker | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-01-09 |
| 1801368527 | Khadananda Bhandari | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-12-19 |
| 1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
| 1285110437 | Natalie Levchenko | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-11 |
| 1093206153 | Sharon Convery | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206153 | Sharon Convery | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-05-24 |
| 1144718131 | Whitney E. Eads | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-04-25 |
| 1891209128 | Anna Anttila | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2017-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
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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.