JEROME M AZEVEDO (NPI# 1477826105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477826105 |
| Entity Type | Individual |
| Full Name | JEROME M AZEVEDO |
| Credential | RN |
| Practice Address |
1441 Flordia Avenue Modesto CA 95350 |
| Mailing Address |
1441 Flordia Avenue Modesto CA 95352-1032 |
| Practice Telephone | 2095763880 |
| Mailing Telephone | 2095763880 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 751358 | CA | Nursing Service Providers |
| Street Address |
1441 FLORDIA AVENUE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1437776804 | Matthew Trevena | Registered Nurse | 1900 Natchez Way, Modesto, CA 95355-8713 | 2020-07-01 |
| 1609496256 | Morgan Teese | Registered Nurse | 2213 Mountain Quail Way, Modesto, CA 95355-9227 | 2020-04-23 |
| 1093263493 | Emem Ukpabio | Registered Nurse | 209 Kerr Ave, Modesto, CA 95354-3808 | 2016-09-14 |
| 1285085456 | Heather M Hollander | Registered Nurse | 1444 Florida Ave Ste 202, Modesto, CA 95350-4400 | 2016-06-28 |
| 1104235688 | Alejandra Robles Guzman | Registered Nurse | 830 Scenic Drive, Bldg. 3, Modesto, CA 95353-3127 | 2014-08-08 |
| 1750790697 | Kristin Wagoner | Registered Nurse | 2701 Fine Ave, Modesto, CA 95355-9773 | 2014-08-05 |
| 1285065334 | Sarah Romero | Registered Nurse | 1431 Mchenry Ave Ste 100, Modesto, CA 95350-4534 | 2013-11-27 |
| 1538402102 | Ann Lucille Bonfiglio | Registered Nurse | 1517 Meadow Grove St, Modesto, CA 95355-1126 | 2013-04-02 |
| 1497005086 | Melissa Nicole Arnold Padilla | Registered Nurse | 2604 Amir Dr, Modesto, CA 95355-8693 | 2012-09-11 |
| 1841526134 | Jonnie York | Registered Nurse | 251 E. Hackett Road, Modesto, CA 95353 | 2009-10-22 |
| 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.