Judith Giacona, RN, PHN, MA

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

242096 Issued in CA

Practice address

11711 Sand Canyon Rd
Yucaipa, CA 92399-1742

Phone

(909) 389-3272

Fax

(909) 389-0772

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1033418108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35080 BUENA MESA DR",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201904",
            "telephone_number": "909-389-3272",
            "fax_number": "909-389-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SAND CANYON RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991742",
            "telephone_number": "909-389-3272",
            "fax_number": "909-389-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACONA",
        "first_name": "JUDITH",
        "credential": "RN, PHN, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "242096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• College Health Registered Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• College Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.