Deteldra Marisha Juniel, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN95216665 Issued in CA

Practice address

7818 Bar Du LN
Sacramento, CA 95829-9469

Phone

(916) 362-8292

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1295893014
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1689732406
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1962560771
  NPD (past)

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1457028052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BAR DU LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299469",
            "telephone_number": "916-362-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Sweet Acacia Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958291130",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6171 Bradshaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299334",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24077 State Highway 49",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959598519",
            "country_code": "US",
            "telephone_number": "530-265-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNIEL",
        "first_name": "DETELDRA",
        "middle_name": "MARISHA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "RN95216665",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN95216665",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95216665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Ah Jung, DDS
• Seungjin Jung
• Hannah Jungkeit, CNC
• William Junglas, MD
• Christina M Jungwirth
• Margaret Anne Junker, M.S, R.D, CDE
• Jonathan Junqua, DO, MPH
• Katie Jurgens
• Andrew Lester Juris, MD
• Gregory J Jurkovich, MD

• All providers in Sacramento, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.