MS. WANDA JEAN GRANT (NPI# 1740845122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740845122 |
Entity Type | Individual |
Full Name | MS. WANDA JEAN GRANT |
Credential | REGISTERED NURSE |
Practice Address |
117 N B St Lompoc CA 93436-6901 |
Mailing Address |
43036 30th St W Apt 131 Lancaster CA 93536-4773 |
Practice Telephone | 8056815100 |
Mailing Telephone | 6614811121 |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
348078 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487127114 | Wanda Louise Grant | Dietitian, Registered | 8710 Clubhouse Blvd, Desert Hot Springs, CA 92240-1166 | 2019-01-04 |
1578880829 | Wanda Lynn Grant | Counselor | 28972 Hwy 43, Albany, LA 70711 | 2010-04-27 |
1538368444 | Wanda Felicia Grant | Psychologist | 345 East Superior St, Chicago, IL 60611 | 2007-07-12 |
1003192014 | Wanda M Grant | Registered Nurse | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2011-10-24 |
Street Address |
117 N B ST |
City | LOMPOC |
State | CA |
Zip Code | 93436-6901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639256514 | Louis Harold Cowling | Marriage & Family Therapist | 117 N B St, Lompoc, CA 93436-6901 | 2006-10-31 |
1053931337 | Ana C Ordonez Aguilar | Case Manager/Care Coordinator | 117 N B St, Lompoc, CA 93436-6901 | 2020-04-16 |
1174154918 | Ashley M Montoya | Counselor | 117 N B St, Lompoc, CA 93436-6901 | 2020-01-30 |
1497314058 | Steve P. Crofut | Case Manager/Care Coordinator | 117 N B St, Lompoc, CA 93436-6901 | 2019-06-07 |
1942762471 | Jenelle Jena Zepeda | Counselor | 117 N B St, Lompoc, CA 93436-6901 | 2019-04-03 |
1669933750 | Sabrina M Cerbone | Registered Nurse | 117 N B St, Lompoc, CA 93436-6901 | 2019-03-29 |
1497214829 | Angela Frances Milholland | Health Educator | 117 N B St, Lompoc, CA 93436-6901 | 2019-03-15 |
1609335025 | Brian James Gauthier | Behavior Technician | 117 N B St, Lompoc, CA 93436-6901 | 2019-03-15 |
1376064071 | Monica Pesqueda | Peer Specialist | 117 N B St, Lompoc, CA 93436-6901 | 2017-07-03 |
1598123143 | Kimberly Gray | Counselor | 117 N B St, Lompoc, CA 93436-6901 | 2016-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
Find all providers in zip 93436 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548454770 | Diane M. Halderman | Registered Nurse | 648 North H Street, Lompoc, CA 93436 | 2007-08-30 |
1235418898 | Catherine Carmelita Harris | Registered Nurse | 117 N B St, Lompoc, CA 93436-6901 | 2011-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.