MR. JACK REYNOLDS


Address: 194 Via Baja, Ventura, CA 93003-1240
Phone: 8057607179

MR. JACK REYNOLDS (NPI# 1972852879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972852879
Entity Type Individual
Full Name MR. JACK REYNOLDS
Credential LVN
Practice Address 194 Via Baja
Ventura
CA 93003-1240
Practice Telephone 8057607179
Mailing Telephone 8057607179
Enumeration Date 2012-09-06
Last Update Date 2012-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN 265668 CA Nursing Service Providers

Other Providers JACK REYNOLDS

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1942651880 Jack Thomas Reynolds Dentist 4100 Ne Vivion Rd, Kansas City, MO 64119-2811 2016-06-22
1871818120 Jack Edward Reynolds Counselor 5604 Timber Ln, Oklahoma City, OK 73111-6877 2010-03-30
1295825123 Jack J. Reynolds Jr. Dentist 1002 Oak Dr, Richmond, IN 47374-1916 2006-10-13

Office Location

Street Address 194 VIA BAJA
City VENTURA
State CA
Zip Code 93003-1240

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645924 Community Memorial Health System Pharmacy 2790 Loma Vista Road, Ventura, CA 93003 2020-06-29
1730702952 Sarah Manon Begert Student in an Organized Health Care Education/Training Program 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 2020-05-21
1033763677 Ashley Danielle Aguilar Counselor 5740 Ralston Suite 100, Ventura, CA 93003 2019-08-01
1730747239 Azadeh Ellsworth Nurse Practitioner 1752 S Victoria Ave Ste 250, Ventura, CA 93003 2019-05-31
1992275556 Melissa Marie Cole Social Worker 4949 Market St, Ventura, CA 93003 2018-11-27
1851868400 Weldon Acupuncture Professional Corporation Acupuncturist 3737 Telegraph Road, Suite F, Ventura, CA 93003 2018-10-31
1952876468 Isabella Florencia Gallegos Specialist/Technologist 1857 Knoll Dr., Ventura, CA 93003 2018-10-11
1437645421 Jill Huang Wong Psychologist 3585 Maple St Ste 248, Ventura, CA 93003 2018-07-02
1346735156 Lisa Ngoc Thi Nguyen Student in an Organized Health Care Education/Training Program 147 N. Brent Street, Ventura, CA 93003 2018-06-25
1457845331 Khloe Frank Student in an Organized Health Care Education/Training Program 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 2018-06-14
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942800982 Michelle Marie Toman Licensed Vocational Nurse 900 Weber Cir Apt 105, Ventura, CA 93003-8248 2020-10-29
1245846104 Jaleisa Andrade Licensed Vocational Nurse 6600 Telephone Rd Apt 902, Ventura, CA 93003-0877 2020-09-16
1053930933 Camille Maria Mcleod Licensed Vocational Nurse 5443 Ralston St Unit 102, Ventura, CA 93003-6164 2020-04-10
1518456664 Veronica Munoz Licensed Vocational Nurse 6344 Whipporwill St, Ventura, CA 93003-7915 2018-05-03
1154877181 April Lacanilao Licensed Vocational Nurse 8415 Newtown St., Ventura, CA 93004 2016-08-30
1942651252 Mandy Wissinger Licensed Vocational Nurse 772 Milton Ave, Ventura, CA 93003-4815 2016-06-28
1871903245 Sean Woods Licensed Vocational Nurse 3311 Foothill Rd, Ventura, CA 93003-1634 2014-05-06
1568730174 Amy Marie Stutes Licensed Vocational Nurse 3090 Channel Dr Apt 215, Ventura, CA 93003-4942 2011-12-09
1124358569 Jason Russo Licensed Vocational Nurse 95 S Santa Rosa St, Ventura, CA 93001-3442 2010-01-07
1851582191 Bonnie Erika Rouda-ruiz Licensed Vocational Nurse 5700 Ralston St Ste 312, Ventura, CA 93003-7868 2007-08-01
Find all providers in VENTURA

Competitor

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City VENTURA
Zip Code 93003

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Dataset Information

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.

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