TABITHA MCJUNKINS (NPI# 1659869865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659869865 |
| Entity Type | Individual |
| Full Name | TABITHA MCJUNKINS |
| Credential | PMHNP-BC |
| Practice Address |
4211 Avalon Blvd Los Angeles CA 90011-5622 |
| Mailing Address |
Po Box 486 Oxford MS 38655-0486 |
| Practice Telephone | 3232330425 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95009611 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN219435 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3832 Highlands Pkwy Se, Smyrna, GA 300825185 | 6783248406 |
| Street Address |
4211 AVALON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316034671 | Sohini Parikh | Psychiatry & Neurology | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2006-10-06 |
| 1427659382 | Dana Thomas | Social Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-11-05 |
| 1487254488 | Destiny Marie Lara | Case Manager/Care Coordinator | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-10-28 |
| 1538767215 | Shira Amiri | Social Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-10-14 |
| 1053927301 | Luz Elena Nunez | Social Worker | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-09-22 |
| 1740895168 | Veronica Isaac | Case Manager/Care Coordinator | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-09-11 |
| 1356952881 | Emily Wakeling | Counselor | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-08-10 |
| 1336758770 | Diana Ramos | Case Manager/Care Coordinator | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-07-30 |
| 1679199632 | Erin Hayden | Counselor | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-06-24 |
| 1861013344 | Katherine Rivas De Ollett | Nurse Practitioner | 4211 Avalon Blvd, Los Angeles, CA 90011-5622 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994323 | Gina Ameri | Nurse Practitioner | 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 | 2020-08-24 |
| 1689203093 | Farooque Azam | Nurse Practitioner | 1654 Middleton Pl, Los Angeles, CA 90062-1033 | 2020-04-07 |
| 1336600410 | Karen Meske | Nurse Practitioner | 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 | 2019-03-29 |
| 1356822142 | Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp | Nurse Practitioner | 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 | 2018-08-28 |
| 1588161129 | Louise Thompson | Nurse Practitioner | 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 | 2018-04-10 |
| 1295248110 | Tehila Tanya Abrekov | Nurse Practitioner | 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 | 2017-11-14 |
| 1649545328 | Dana Lynn Lambrose | Nurse Practitioner | 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 | 2012-03-14 |
| 1427290030 | Gerald M Baltz | Nurse Practitioner | 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 | 2009-03-27 |
| 1568603256 | Jordan Swiskow | Nurse Practitioner | 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 | 2009-03-10 |
| 1316018591 | Sharon Collette Mcdaniel | Nurse Practitioner | 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 | 2006-11-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
Please comment or provide details below to improve the information on TABITHA MCJUNKINS.
| 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.