JEANNIE LOURAINE RUDLEY (NPI# 1487813218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487813218 |
| Entity Type | Individual |
| Full Name | JEANNIE LOURAINE RUDLEY |
| Credential | LPT |
| Practice Address |
6060 N Paramount Blvd Long Beach CA 90805-3711 |
| Mailing Address |
2427 Cedar Ave Long Beach CA 90806-2908 |
| Practice Telephone | 5627901860 |
| Mailing Telephone | 5626124522 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT28900 | CA | Nursing Service Providers |
| Street Address |
6060 N PARAMOUNT BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124114020 | Bryceton N. Danico | Social Worker | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2006-10-05 |
| 1932750577 | Delon Salvador | Student in an Organized Health Care Education/Training Program | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2019-09-25 |
| 1871141564 | Adryahna Cheyanne Pace | Case Manager/Care Coordinator | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2019-08-27 |
| 1497317630 | Jill Savage | Registered Nurse | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2019-07-08 |
| 1083116008 | Leonor Escobar | Case Manager/Care Coordinator | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2018-03-06 |
| 1821509381 | Yesenia Cruz | Social Worker | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2017-10-23 |
| 1750801965 | Aryeh Y Lazar | Case Manager/Care Coordinator | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2017-06-20 |
| 1487186920 | Chanel Addishin | Case Manager/Care Coordinator | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2017-04-03 |
| 1164953410 | Christina Ha Khong | Counselor | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2017-03-27 |
| 1790225472 | Jessica Ornelas | Social Worker | 6060 N Paramount Blvd, Long Beach, CA 90805-3711 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450016 | Ryann Thibodeaux | Licensed Psychiatric Technician | 2385 Easy Ave, Long Beach, CA 90810-3334 | 2016-03-25 |
| 1417047069 | Anthony Desanto-kelly | Licensed Psychiatric Technician | 3501 N Lakewood Blvd, Long Beach, CA 90808-1736 | 2006-10-13 |
| 1730793563 | Perla Hernandez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-31 |
| 1740893916 | Lisa Louise Morrison | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-27 |
| 1114539921 | Maria Barnes | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-21 |
| 1831701267 | Craig Alexander March | Licensed Psychiatric Technician | 1501 Hughes Way Ste 100, Long Beach, CA 90810-1877 | 2020-08-18 |
| 1548878606 | Alejandro Chavira | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-07-15 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1962044206 | Davinesha Marie Sally | Licensed Psychiatric Technician | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-10-08 |
| 1295388684 | Vincent Lopez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2019-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.