JEANNE MUTONGERWA (NPI# 1477008001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477008001 |
| Entity Type | Individual |
| Full Name | JEANNE MUTONGERWA |
| Practice Address |
1229 Markham Ave Modesto CA 95358-6910 |
| Practice Telephone | 7029606133 |
| Mailing Telephone | 7029606133 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN205543 | CA | Nursing Service Providers |
| Street Address |
1229 MARKHAM AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731854 | Lillian Ayema | Licensed Practical Nurse | 1229 Markham Ave, Modesto, CA 95358-6910 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| 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 |
|---|---|---|---|---|
| 1689271173 | Frank W Bowerman | Licensed Vocational Nurse | 2629 Mill Oak Dr, Modesto, CA 95355-9453 | 2020-10-07 |
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1326679630 | Kristin Fournillier | Licensed Vocational Nurse | 2438 Millcreek Ct, Modesto, CA 95351-4878 | 2020-01-27 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1023523917 | Shonam Menchue | Licensed Vocational Nurse | 215 Kingston Ln, Modesto, CA 95354-3128 | 2017-12-13 |
| 1730615725 | Vanessa Camacho | Licensed Vocational Nurse | 3817 Rexford Dr, Modesto, CA 95356-1835 | 2017-05-11 |
| 1003356395 | Alexandra Patterson | Licensed Vocational Nurse | 2514 Uhlig Ave, Modesto, CA 95350-2865 | 2017-03-06 |
| 1639618465 | Angel Chandra | Licensed Vocational Nurse | 1825 Lifetime Dr, Modesto, CA 95355-2665 | 2017-02-13 |
| 1316492697 | Sabrina Slater | Licensed Vocational Nurse | 1808 Serena Ave, Modesto, CA 95355-2925 | 2016-08-17 |
| 1053768705 | Lilia Guerra Macias | Licensed Vocational Nurse | 1113 Memory Ln, Modesto, CA 95351-2193 | 2016-05-23 |
| Find all providers in MODESTO | ||||
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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.