ANTIONETTE REDDRICK (NPI# 1326583618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326583618 |
| Entity Type | Individual |
| Full Name | ANTIONETTE REDDRICK |
| Practice Address |
180 Sierra College Dr Grass Valley CA 95945-5768 |
| Practice Telephone | 5302739541 |
| Mailing Telephone | 5302739541 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN 170896 | CA | Nursing Service Providers |
| Street Address |
180 SIERRA COLLEGE DR |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871686105 | Miranda Goldfarb | Social Worker | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2006-09-30 |
| 1396383055 | Sarah L Mancebo | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-12-12 |
| 1932745338 | Elizabeth Ann Johnson | Licensed Vocational Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-11-20 |
| 1437792363 | Carie Starnes | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-10-23 |
| 1336794593 | Colleen Patricia Henely | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-08-05 |
| 1780236760 | Brittany M Nash | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-07-10 |
| 1265084263 | Christina L Cannon | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-07-10 |
| 1306314976 | James Pritchett | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945 | 2018-11-12 |
| 1912489840 | Mandy Bender | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2018-09-06 |
| 1952895120 | Megan Lear | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1467820209 | Mark Badgett | Licensed Vocational Nurse | 536 Whiting St Apt 9, Grass Valley, CA 95945-7557 | 2015-09-10 |
| 1932745338 | Elizabeth Ann Johnson | Licensed Vocational Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-11-20 |
| 1154976918 | Valarie D Murray | Licensed Vocational Nurse | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2019-08-07 |
| 1740748607 | Sean R Fries | Licensed Vocational Nurse | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2019-03-08 |
| 1790281749 | Lewis Tarr Jr. | Licensed Vocational Nurse | 145 Glasson Way, Grass Valley, CA 95945-5723 | 2018-03-30 |
| 1801319264 | Ryan Neil Kennedy | Licensed Vocational Nurse | 145 Glasson Way, Grass Valley, CA 95945-5723 | 2017-07-18 |
| 1740701226 | Julia Jory | Licensed Vocational Nurse | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2017-07-05 |
| 1255868394 | Monika J Black | Licensed Vocational Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2017-05-19 |
| 1114465002 | Nicole Sauls | Licensed Vocational Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2017-02-10 |
| 1063960318 | Adrienne Berg | Licensed Vocational Nurse | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2016-09-15 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.