Jada Marie Krueger
Individual provider Active NPI Licensed Vocational Nurse · Pollock Pines, CA
NPI 1679422281 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1679422281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 235805 (CA)
- Practice address
- 5031 Shooting Star Rd
Pollock Pines, CA 95726-9447 - Phone
- (760) 666-0869
- NPI assigned
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235805 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 235805 | CA | Yes |
Addresses
Primary practice location
5031 Shooting Star Rd
Pollock Pines, CA 95726-9447
Mailing address
5031 Shooting Star Rd
Pollock Pines, CA 95726-9447
Phone (760) 666-0869
Other providers in Pollock Pines, CA
- Marie G Hilton
- Mamata Holder
- Integrative Marriage Family and Individual Therapy, Incorporated
- James L. Dawson DDS Inc.
- Kayla Marie King
- Kiara Yong Lofton
- Longs Drug Stores California LLC
- Tracy Lopez
- Isabella Marquez
- Diana Lynn McCann
All providers in Pollock Pines, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.