EMMAJEAN MCCREADIE (NPI# 1811034507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811034507 |
| Entity Type | Individual |
| Full Name | EMMAJEAN MCCREADIE |
| Credential | NP |
| Practice Address |
2005 Wilshire Blvd Los Angeles Los Angeles CA 90057-3503 |
| Mailing Address |
2007 Wilshire Blvd Suite 227 Los Angeles CA 90057-3506 |
| Practice Telephone | 2134132700 |
| Practice Fax Number | 2134136722 |
| Mailing Telephone | 2134132700 |
| Mailing Fax Number | 2134136722 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN209322 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN209322 | 05 | |
| CA | NP LICENSE | NP2136 | 01 |
| Street Address |
2005 WILSHIRE BLVD LOS ANGELES |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659548980 | Denise Marie Ellison | Advanced Practice Midwife | 2005 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2008-05-15 |
| 1790952943 | Jewett Jacques Harrington | Advanced Practice Midwife | 2005 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2008-05-15 |
| 1619195625 | Suzan Hanna | Specialist | 2005 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2007-04-23 |
| 1467586149 | Patricia Russell | Specialist | 2005 Wilshire Blvd, Los Angeles, CA 90057-3503 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659666048 | Maggie Lizardi Weiss | Nurse Practitioner | 4900 W Sunset Blvd # 5b, Los Angeles, CA 90027-5814 | 2011-06-14 |
| 1962796748 | Shamma Maria Singh | Nurse Practitioner | 4004 S Vermont Ave Ste 6, Los Angeles, CA 90037-1976 | 2011-06-08 |
| 1346478146 | Cristy Schier | Nurse Practitioner | 1014 N Vermont Ave, Los Angeles, CA 90029-2620 | 2009-06-30 |
| 1750415493 | Shu Feng Jung | Nurse Practitioner | 1075 N Western Ave, # 110, Los Angeles, CA 90029-2307 | 2007-03-15 |
| 1659414670 | Rashmi Ashwin Shroff | Nurse Practitioner | 4301 S Figueroa St Ste F, Los Angeles, CA 90037-2671 | 2007-02-15 |
| 1215356688 | Stephanie Diane Lacroix | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2014-04-14 |
| 1073765913 | Rossana Rosales | Nurse Practitioner | 1240 N Mission Rd, Los Angeles, CA 90033-1019 | 2008-10-22 |
| 1861686487 | Rose Osuna | Nurse Practitioner | 1640 Marengo St, Hra Building 3rd Floor, Los Angeles, CA 90033-1036 | 2007-08-28 |
| 1588862577 | Carrol King-boyd | Nurse Practitioner | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-07-11 |
| 1164629697 | Grace Ebenuwa | Nurse Practitioner | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-06-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on EMMAJEAN MCCREADIE.
| 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.