JESSICA ANNAHEIM (NPI# 1518571462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518571462 |
| Entity Type | Individual |
| Full Name | JESSICA ANNAHEIM |
| Practice Address |
11049 Cedar Creek Dr Rancho Cucamonga CA 91737-7855 |
| Practice Telephone | 9097288253 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011600 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11049 CEDAR CREEK DR |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91737-7855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077889 | Nancy M Yani | Pharmacist | 10431 Lemon Ave Suite G, Rancho Cucamonga, CA 91737 | 2019-08-08 |
| 1497219208 | Karen Shigenaka | Counselor | 4964 Klusman Avenue, Rancho Cucamonga, CA 91737 | 2019-01-25 |
| 1255863700 | Gabriell Marie Leon | Marriage & Family Therapist | 6593 Mesada St, Rancho Cucamonga, CA 91737 | 2017-04-03 |
| 1164767844 | Andrew Addy | Durable Medical Equipment & Medical Supplies | 10757 Lemon Avenue, Suite 1224, Rancho Cucamonga, CA 91737 | 2012-12-06 |
| 1871713842 | Julia Eileen Brown | Dentist | 6331 Haven Blvd #12, Rancho Cucamonga, CA 91737 | 2007-05-01 |
| 1518080597 | Irene Malavika Justin | Dentist | 10186 Monaco Pl, Ranchocucamonga, CA 91737 | 2007-04-06 |
| 1619473154 | Haven Elite Urgent Care | Clinic/Center | 6417 Haven Ave Ste 110, Rancho Cucamonga, CA 91737 | 2018-04-03 |
| 1245509165 | Bill Chan | Pharmacist | 6400 Haven Ave, Rancho Cucamonga, CA 91737 | 2011-12-21 |
| 1841818747 | Wtfootcare, Professional Physician Assistant Corporation | Physician Assistant | 8972 Appaloosa Ct, Rancho Cucamonga, CA 91737-1401 | 2020-07-08 |
| 1780166595 | Stanley Mwaura | Registered Nurse | 8914 Whirlaway Ct, Rancho Cucamonga, CA 91737-1417 | 2018-08-29 |
| Find all providers in zip 91737 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312242 | Ryan Briggs | Nurse Practitioner | 9660 Haven Ave Ste 203, Rancho Cucamonga, CA 91730-5896 | 2019-02-18 |
| 1801365713 | Jennifer Ann Ordonio | Nurse Practitioner | 7365 Carnelian St Ste 130, Rancho Cucamonga, CA 91730-1100 | 2018-11-20 |
| 1205311875 | Jocelyn Arranaga | Nurse Practitioner | 7903 Elm Ave Apt 37, Rancho Cucamonga, CA 91730-6868 | 2018-09-30 |
| 1154801140 | Paulyn Gapay Harris | Nurse Practitioner | 10400 Arrow Rte Apt V10, Rancho Cucamonga, CA 91730-4782 | 2018-08-19 |
| 1093208316 | Randi Celeste Edwards | Nurse Practitioner | 8237 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730-0717 | 2018-06-12 |
| 1770090128 | Jonathan Gene Lee | Nurse Practitioner | 8692 9th St Unit 24, Rancho Cucamonga, CA 91730-0809 | 2018-01-08 |
| 1144769753 | R Chenise Cole | Nurse Practitioner | 11232 Terra Vista Pkwy Apt 91, Rancho Cucamonga, CA 91730-6769 | 2017-02-15 |
| 1750738613 | Rms Cherubim Health Care Services, Inc | Nurse Practitioner | 8350 Archibald Ave Ste 230, Rancho Cucamonga, CA 91730-3672 | 2016-05-20 |
| 1336502582 | Krisolito Mones Labarda | Nurse Practitioner | 6299 Filly Ct, Rancho Cucamonga, CA 91739-9590 | 2016-04-04 |
| 1225449622 | Collins Boampong | Nurse Practitioner | 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730-6360 | 2014-05-19 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91737 |
Please comment or provide details below to improve the information on JESSICA ANNAHEIM.
| 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.