Keith Jerald Henry · Licensed Vocational Nurse

2633 E 27th St, Oakland, CA 94601-1912

Overview

Keith Jerald Henry is a Licensed Vocational Nurse practicing in Oakland, California. The National Provider Identifier (NPI) is #1114817517, which was assigned on July 7, 2025, and the registration record was last updated on July 7, 2025. The practitioner's main practice location is at 2633 E 27th St, Oakland, CA 94601-1912; the contact telephone number is 5105368111. The primary taxonomy of Keith Jerald Henry is Licensed Vocational Nurse (164X00000X). Keith Jerald Henry is licensed to practice in the state of California (#750865).

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Provider Information

NPI 1114817517
Entity Type Individual
Provider Name KEITH JERALD HENRY
Gender Male
Practice Address 2633 E 27th St
Oakland
CA 94601-1912
Practice Telephone 5105368111
Mailing Address 2633 E 27th St
Oakland
CA 94601-1912
Certification Date 2025-07-07
Enumeration Date 2025-07-07
Last Update Date 2025-07-07
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y164X00000XLicensed Vocational Nurse750865CA

Taxonomy Information

Primary Taxonomy

Code 164X00000X
Taxonomy Licensed Vocational Nurse
Classification Licensed Vocational Nurse
Grouping Nursing Service Providers
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Dianna L Varnell 1901 Barney Rd Apt 15, Anderson, CA 96007-4301Licensed Vocational Nurse2025-09-04
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Location Information

Street Address 2633 E 27TH ST
City OAKLAND
State CA
Zip Code 94601-1912
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Jose Javier Aguilar 2633 E 27th St, Oakland, CA 94601-1912Licensed Psychiatric Technician2022-08-22
Amara Nwamaka Uche · Amara Nwamaka Arinze 2633 E 27th St, Oakland, CA 94601-1912Registered Nurse2023-09-25
Brooke P Lawson 2633 E 27th St, Oakland, CA 94601-1912Licensed Vocational Nurse2025-01-02
Cheryl Latarsha Sturdivant 2633 E 27th St, Oakland, CA 94601-1912Licensed Psychiatric Technician2025-08-22
Isabel Greyson 2633 E 27th St, Oakland, CA 94601-1912Student in an Organized Health Care Education/Training Program2025-06-12

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ayannah Nichole Peterson 2648 International Blvd, Suite 155 #158, Oakland, CA 94601Doula2021-11-09
Jessica Luna 2744 E 11th St, Oakland, CA 94601-1440Mental Health Counselor2007-01-11
Rosario Beatriz Neyra Tercero · Rosario Beatriz Hayes Po Box 7199, Oakland, CA 94601-0199Social Worker2018-03-23
Nasya Anderson 2429 24th Ave, Oakland, CA 94601-1265Behavioral Analyst2025-04-17
Marie Antoinette Leer · Marie Antoinette Lim 2744 E 11th St, Oakland, CA 94601-1440Clinical Social Worker2023-07-27
Diplomat's Center Inc 5115 Foothill Blvd, Oakland, CA 94601Community Health Worker2025-03-25
Nancy Navarro 2744 E 11th St, Oakland, CA 94601-1440Case Manager/Care Coordinator2024-01-30
Kevin Jair Dominguez Cruz 1431 25th Ave, Oakland, CA 94601-1029Behavior Technician2024-11-25
Jessica E Fulton 3301 E. 12th Street, Suite 259, Oakland, CA 94601Marriage & Family Therapist2017-04-20
Seneca Family of Agencies 1045 Derby Ave, Oakland, CA 94601Community/Behavioral Health Agency2025-08-14
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.