Active NPI
Myra Francine Stewart, L.V.N.
- Licensed Vocational Nurse
- Oakland, CA
National Provider Identifier
1477960441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 212403
- Practice address
- 1611 92ND Ave
A
Oakland, CA 94603-1509 - Phone
- (510) 562-0278
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 212403 | CA | Primary |
Addresses
Primary practice location
1611 92ND Ave
A
Oakland, CA 94603-1509
Mailing address
1611 A 92ND Ave
Oakland, CA 94603
Phone (501) 562-0278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212403 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1477960441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 A 92ND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94603",
"telephone_number": "501-562-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 92ND AVE",
"address_2": "A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946031509",
"telephone_number": "510-562-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MYRA",
"middle_name": "FRANCINE",
"name_prefix": "Mrs.",
"credential": "L.V.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "212403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.