DON BOUDREAUX (NPI# 1114177698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114177698 |
| Entity Type | Individual |
| Full Name | DON BOUDREAUX |
| Practice Address |
8420 Buckland St Apt 2 La Mesa CA 91942-2874 |
| Practice Telephone | 7604704089 |
| Mailing Telephone | 7604704089 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN174892 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RVN003060 | 05 | |
| CA | EPS014720 | 05 |
| Street Address |
8420 BUCKLAND ST APT 2 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| 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 |
|---|---|---|---|---|
| 1275142879 | Teresa Gomez | Licensed Vocational Nurse | 5040 Colina Dr, La Mesa, CA 91942-9330 | 2020-07-29 |
| 1710535687 | Mattison Brooke Johnson I | Licensed Vocational Nurse | 8615 Fletcher Pkwy Unit 406, La Mesa, CA 91942-5205 | 2019-09-03 |
| 1679034987 | Justine Turner | Licensed Vocational Nurse | 5421 Lake Murray Blvd Apt 15, La Mesa, CA 91942-1554 | 2019-03-28 |
| 1235664731 | Anneva Beathea | Licensed Vocational Nurse | 10878 Calle Verde, La Mesa, CA 91941-8506 | 2017-04-22 |
| 1134517451 | Jenica Dale | Licensed Vocational Nurse | 5810 Amaya Dr Apt 18e, La Mesa, CA 91942-4143 | 2015-01-09 |
| 1093118473 | Jennifer Bartindale | Licensed Vocational Nurse | 8470 Abilene Ter, La Mesa, CA 91942-2720 | 2014-09-30 |
| 1003167677 | Sarah Christine Harback | Licensed Vocational Nurse | 9065 Campina Dr Apt D, La Mesa, CA 91942-3512 | 2012-09-24 |
| 1760791768 | Tatiana Brodsky | Licensed Vocational Nurse | 4250 Nabal Dr, La Mesa, CA 91941-7169 | 2010-09-25 |
| 1497931901 | Suginda Marie Hill | Licensed Vocational Nurse | 4395 70th St Apt 43, La Mesa, CA 91941-5937 | 2008-01-14 |
| 1811028202 | Leonore Villalta-murphy | Licensed Vocational Nurse | 8171 Vincetta Dr Apt 11, La Mesa, CA 91942-2431 | 2007-03-08 |
| Find all providers in LA MESA | ||||
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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.