KARRYN GRAY-HARRIS (NPI# 1649823766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649823766 |
| Entity Type | Individual |
| Full Name | KARRYN GRAY-HARRIS |
| Practice Address |
1322 N Avalon Blvd Wilmington CA 90744-2639 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 8182060360 |
| Mailing Telephone | 8182060360 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 700757 | CA | Nursing Service Providers |
| Street Address |
1322 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972669257 | Aegis Treatment Centers, LLC | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2006-12-29 |
| 1225635774 | Kailisha Foreman | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-10-07 |
| 1811507288 | Yanett Romero | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744 | 2020-07-31 |
| 1134769201 | Aiysha Jenkins | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-01-07 |
| 1902453079 | Joann Dumas | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-22 |
| 1114573888 | Jasmina De Jesus Valdivia | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-17 |
| 1801442892 | Marilyn Denise Smith | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-14 |
| 1114587466 | Rocio Gomez | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-06-19 |
| 1932673258 | Elizabeth Quezada | Counselor | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-01-21 |
| 1083180467 | Melissa Grace Jones | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| 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 |
|---|---|---|---|---|
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1972974590 | Tracy Perkins | Licensed Vocational Nurse | 7 Colony Blvd, Wilmington, DE 19802-1464 | 2015-10-08 |
| 1225635774 | Kailisha Foreman | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-10-07 |
| 1811507288 | Yanett Romero | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744 | 2020-07-31 |
| 1134769201 | Aiysha Jenkins | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-01-07 |
| 1902453079 | Joann Dumas | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-22 |
| 1114573888 | Jasmina De Jesus Valdivia | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-17 |
| 1801442892 | Marilyn Denise Smith | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-14 |
| 1114587466 | Rocio Gomez | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-06-19 |
| 1104485846 | Roxana Vianney Camacho | Licensed Vocational Nurse | 117 E Harry Bridges Blvd, Wilmington, CA 90744-5825 | 2019-06-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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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.