Michaela Meclgartland, LVN, RN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

282611 Issued in CA

Practice address

1313 Cutting Blvd
Richmond, CA 94804-2554

Phone

(510) 232-0874

NPI assigned

Jul 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1437635232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 24TH ST APT 109",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072453",
            "telephone_number": "510-563-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 CUTTING BLVD",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948042554",
            "telephone_number": "510-232-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECLGARTLAND",
        "first_name": "MICHAELA",
        "name_prefix": "Ms.",
        "credential": "LVN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95179113",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "282611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Marie McMorris, CADC
• Donald McMurrian
• Carmen McNeil, M.A.
• Jamal Meadors
• Isaac Meadow, M.A.
• Medical Legal Evaluators, Inc
• Jaqueline Medina Leon
• Mariafe Medina-Schmiel, LMFT
• Teresa Mercedes Medina
• Ana Paula Medrano Flores

• Licensed Vocational Nurse in Richmond, CA
• Providers in Richmond, 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 Jan 17, 2019; 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.