Jeanine Williams

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

276231 Issued in CA

Practice address

550 S Grand Ave
Glendora, CA 91741-4211

Phone

(626) 857-0633

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Walgreen Co

  • Pharmacy
  • Glendora, CA
  • NPI 1114932407
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1972292753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MOUNTAIN AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414211",
            "telephone_number": "626-857-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "276231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Yolanda Willard
• William C. Chu, MD, Incorporated
• William Gillespie and Associates Inc.
• William Kurban MD Inc
• Ruth Ann Williams-Morehead
• Tracy Maria Williams, BS
• Chloe Willis, MA, BCBA
• Willow Nursing Corp
• Wilshire Oncology Medical Group, Inc.
• Sean Wilson, LPT

• Licensed Vocational Nurse in Glendora, CA
• Providers in Glendora, 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 May 5, 2023; 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.