JENNIFER TRACY LESSER (NPI# 1629532874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629532874 |
| Entity Type | Individual |
| Full Name | JENNIFER TRACY LESSER |
| Other Name | JENNIFER TRACY NOWACK |
| Practice Address |
1300 S Grand Ave Ste C Santa Ana CA 92705-4434 |
| Mailing Address |
11 Edgartown St Ladera Ranch CA 92694-1007 |
| Practice Telephone | 7145677688 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
617489 | CA | Nursing Service Providers |
| Street Address |
1300 S GRAND AVE STE C |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962593616 | Alexis Victoria Moulton | Licensed Psychiatric Technician | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2006-09-27 |
| 1669857710 | Ana Rosa Melendez | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2015-07-29 |
| 1962807727 | Cristina Madory | Social Worker | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2014-10-22 |
| 1932410925 | Edwin Alexander Cruz | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2010-06-24 |
| 1477723856 | Brett David Williams | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-03-03 |
| 1841469103 | Ithamar Young | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-20 |
| 1881862795 | Monique Rochelle Nilsen | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-13 |
| 1326226705 | John C. Claxton | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-07 |
| 1265610687 | Kelly Weaver | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-07 |
| 1063690444 | Darren Anthony Tan | Case Manager/Care Coordinator | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4434 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336558709 | Evan Sandoval | Registered Nurse | 12062 W Edinger Ave Spc 57, Santa Ana, CA 92704-3820 | 2014-08-10 |
| 1710263660 | Rebecca R Kolb | Registered Nurse | 550 N Flower St Bldg 96, Santa Ana, CA 92703-2361 | 2011-10-24 |
| 1649366352 | Donna F. Bray | Registered Nurse | 405 West 5th Street, Suite 550, Santa Ana, CA 92701 | 2006-10-04 |
| 1558846816 | Warren Pabale | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-10-02 |
| 1558841957 | Edgar Nectali Zavaleta | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-08-15 |
| 1417474123 | Brian Vincent Moore | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2017-08-23 |
| 1093107732 | Victor Ernest Pazmino Rodriguez II | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2015-03-03 |
| 1285071944 | Karol Ronie Bunao | Registered Nurse | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2013-06-03 |
| 1396091203 | Kelly Winters Kelley | Registered Nurse | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2012-07-28 |
| 1821239047 | Sheila Kathryn Tan | Registered Nurse | 1200 N Main St, Santa Ana, CA 92807 | 2009-03-18 |
| Find all providers in SANTA ANA | ||||
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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.