Frederick Dewitt Turnbull III

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

150726 Issued in CA

Practice address

746 Brookhaven Dr
Paradise, CA 95969-3814

Phone

(530) 877-3535

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649477837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 BROOKHAVEN DR",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693814",
            "telephone_number": "530-877-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 BROOKHAVEN DR",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693814",
            "telephone_number": "530-877-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "FREDERICK",
        "middle_name": "DEWITT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "150726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF DMV LIC. #",
            "identifier": "M0964855",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPA LIC#",
            "identifier": "C6650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LIC #",
            "identifier": "150726",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN005110",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS017000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Touchette, AU.D.
• Daniel E. Townsend
• Elizabeth Joy Trinca
• Timothy R Truitt
• Frank Tsolakis, PHARMD
• Richard B Turner, M.D.
• Jeffrey Robert Tyler, OTR/L
• Emmanuel Ernan Ugbah
• Christina Maria Elanie Umber, M.D.
• Peck-Houy Ung, M.D.

• Licensed Vocational Nurse in Paradise, CA
• Providers in Paradise, 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 Jul 9, 2007; 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.