MARY WINDHAM (NPI# 1558521740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558521740 |
| Entity Type | Individual |
| Full Name | MARY WINDHAM |
| Credential | LVN |
| Practice Address |
3686 Pacific Ave Riverside CA 92509-1948 |
| Practice Telephone | 9516634842 |
| Mailing Telephone | 9516634842 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN231828 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417485830 | Mary Ruth Windham | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Dept of Internal Medicine, New Haven, CT 06510-3220 | 2017-05-30 |
| Street Address |
3686 PACIFIC AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619142684 | Amy L Tresky | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-04-29 |
| 1639789035 | Pacific Manor Recovery LLC | Substance Abuse Rehabilitation Facility | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2020-07-31 |
| 1891182002 | Sheterah Burnett-wrenn | Community Based Residential Treatment Facility, Mental Illness | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2015-04-25 |
| 1801027651 | Destinee Antillon | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2009-07-28 |
| 1992967962 | Evangeline Russell | Licensed Vocational Nurse | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-06-30 |
| 1821265026 | Marilyn Covington | Licensed Psychiatric Technician | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-15 |
| 1972770394 | Tjhomas M Davis | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-14 |
| 1609043728 | Alicia Garcia | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| 1760659874 | Jacqueline Duarte | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| 1205003225 | Pamela Miller | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| 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 |
|---|---|---|---|---|
| 1588284228 | Keri Lynn Martinez | Licensed Vocational Nurse | 11563 Park Trails St, Riverside, CA 92505-5719 | 2020-04-23 |
| 1518591346 | Egladely Calderon Vela | Licensed Vocational Nurse | 3390 Country Village Rd Apt 2307, Riverside, CA 92509-1086 | 2020-03-02 |
| 1982235594 | Cherie Pena Grajeda | Licensed Vocational Nurse | 6473 Thunder Bay Trl, Riverside, CA 92509-0147 | 2020-02-01 |
| 1659912657 | Sidra Ann Wilson | Licensed Vocational Nurse | 2085 Rustin Ave # 5, Riverside, CA 92507-2498 | 2019-10-01 |
| 1326692765 | Betty O. Aimiuwu | Licensed Vocational Nurse | 2841 Grace St Apt 2, Riverside, CA 92504-4750 | 2019-07-24 |
| 1720590342 | Melva Elena Renteria | Licensed Vocational Nurse | 9890 County Farm Rd # 3, Riverside, CA 92503-3505 | 2017-11-05 |
| 1861917213 | Ta'neisha Monique-grady Riley | Licensed Vocational Nurse | 9890 County Farm Rd Bldg 3, Riverside, CA 92503-3505 | 2017-08-07 |
| 1801324017 | Janine Carol Williams | Licensed Vocational Nurse | 4311 University Ave, Riverside, CA 92501-3143 | 2017-06-01 |
| 1215311485 | Shannon Smail | Licensed Vocational Nurse | 5130 Sierra St, Riverside, CA 92504-2261 | 2015-07-16 |
| 1295112233 | Sommer Henry | Licensed Vocational Nurse | 6617 Palm Ave, Riverside, CA 92506-2345 | 2015-04-28 |
| Find all providers in RIVERSIDE | ||||
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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.