JANDRA OLIVER (NPI# 1033673181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033673181 |
| Entity Type | Individual |
| Full Name | JANDRA OLIVER |
| Credential | MSN, PMHN-BC |
| Practice Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
| Mailing Address |
1297 15th St Los Osos CA 93402-1415 |
| Practice Telephone | 8057814700 |
| Mailing Telephone | 8054587765 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95052543 | CA | Nursing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2178 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919263 | Jeffrey Bruce Elliott | Psychologist | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2005-08-16 |
| 1548860745 | Colleen Noel Margalit | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-27 |
| 1245839133 | Eliruth Ortiz | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-21 |
| 1578181996 | Lynnette Warren | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-13 |
| 1184242869 | Kevin Nitzel | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-09 |
| 1053935718 | Sharon Beryl Maslow | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1093338196 | Karen Jennifer Greene | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-22 |
| 1902434053 | Mehta Halstead | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-04-01 |
| 1447884010 | Casey Lynn Kay | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013196112 | Mary J. Jody Benson | Registered Nurse | 351 Corrida Dr, San Luis Obispo, CA 93401-5524 | 2007-10-25 |
| 1265943674 | Ernest Lee Lowry IIi | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2017-10-12 |
| 1376089763 | Moncela Velasco | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2017-01-10 |
| 1659820900 | Darla Henderson | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2016-09-28 |
| 1588052005 | Rose Lorenzo-maxwell | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2015-01-06 |
| 1871981399 | Janet Torti | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2015-01-06 |
| 1992129498 | Emily Marie Cary | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2014-02-05 |
| 1255670808 | Patrick Michael Cady | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2013-02-01 |
| 1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
| 1689931156 | Andrew Arren Jones | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2012-04-20 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on JANDRA OLIVER.
| 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.