Tameka Tashawn Reynolds, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN204821 Issued in CA

Practice address

1317 E. Alondra Blvd.
#G
Compton, CA 90221-4470

Phone

(310) 714-5563

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1972871192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 E. ALONDRA BLVD.",
            "address_2": "#G",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902214470",
            "telephone_number": "310-714-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 E. ALONDRA BLVD.",
            "address_2": "#G",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902214470",
            "telephone_number": "310-714-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TAMEKA",
        "middle_name": "TASHAWN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN204821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehoboth Drug and Alcohol Prevention Center
• Renew Integrated Program-2 Inc.
• Nancy Zulma Renoj
• Celeste Antonia Renteria
• Jameka Nacole Reynolds, MSW
• Jasmine Rhaburn
• Clint Richardson Jr.
• Christopher M Ridgeway, HS
• Jose Guillermo Rios Jr., MSW
• Gloria M Rivas, LVN

• Licensed Vocational Nurse in Compton, CA
• Providers in Compton, 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 Feb 1, 2018; 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.