JENNIFER NATHELIA MCGRUDER (NPI# 1740687219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740687219 |
| Entity Type | Individual |
| Full Name | JENNIFER NATHELIA MCGRUDER |
| Credential | LVN |
| Practice Address |
11642 Glenoaks Blvd Pacoima CA 91331-1068 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 8188972609 |
| Mailing Telephone | 3103906612 |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2014-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 262084 | CA | Nursing Service Providers |
| Street Address |
11642 GLENOAKS BLVD |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073910964 | Michelle Blue | Counselor | 11642 Glenoaks Blvd, Pacoima, CA 91331-1068 | 2014-11-20 |
| 1295132652 | Tiffany Baker | Community Health Worker | 11642 Glenoaks Blvd, Pacoima, CA 91331-1068 | 2014-12-01 |
| 1952708729 | Monira Mansoory | Community Health Worker | 11642 Glenoaks Blvd, Pacoima, CA 91331-1068 | 2014-11-22 |
| 1851798763 | Haruka Odombrown | Counselor | 11642 Glenoaks Blvd, Pacoima, CA 91331-1068 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| 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 |
|---|---|---|---|---|
| 1952555013 | Ariana Sanchez | Licensed Vocational Nurse | 12953 Montford St, Pacoima, CA 91331-1124 | 2008-11-14 |
| 1649466921 | Beatriz Elizabeth Nunez | Licensed Vocational Nurse | 9846 Amboy Ave, Pacoima, CA 91331-4013 | 2007-09-19 |
| 1497353304 | Regina Grant | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-13 |
| 1992261556 | Shebette Lewis | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-02-19 |
| 1780152314 | Victor Romero | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-11-13 |
| 1114494259 | Alba Rojas | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-10-26 |
| 1942787585 | Ashlee Mitchell | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-07-26 |
| 1366937310 | Nicholl Houston | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-06-22 |
| 1972025716 | Mayte Ledea | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2017-07-13 |
| 1457872020 | Rosemary Ramirez | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 | 2017-07-04 |
| Find all providers in PACOIMA | ||||
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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.