Aquzia Katheren McClendon

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

259687 Issued in CA

Practice address

1404 High St Apt a
Alameda, CA 94501-3166

Phone

(510) 365-8655

NPI assigned

Jun 7, 2021

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

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1144897398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HIGH ST APT A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 HIGH ST APT A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013166",
            "telephone_number": "510-365-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "AQUZIA",
        "middle_name": "KATHEREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "259687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McArlson, Inc.
• Christopher Maurice McBride
• Pamela J McBride, MD
• Jodi L. McCarthy, PPS-CREDENTIALED SCH
• Keosha McClendon-Johnson
• Erin McClive, DC
• Barbara A McClung
• Kara Medulan McClymont
• Kelly McCall McConnell, MFT, PPS
• Shanequa McCrimmon

• Licensed Vocational Nurse in Alameda, CA
• Providers in Alameda, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.