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Deranee Pearl Tabor
NPI 1245100668 · Licensed Practical Nurse · Lodi, CA
Deranee Pearl Tabor is a Licensed Practical Nurse provider in Lodi, CA (NPI 1245100668).
Provider details
- NPI number
- 1245100668
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 704752 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
541 S Ham Ln Ste A&b
Lodi, CA 95242-3059
Phone: (209) 224-8940
Street-level locationGet directions
Mailing address
541 S Ham Ln Ste A&b
Lodi, CA 95242-3059
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Deranee Pearl Tabor's NPI number?
- Deranee Pearl Tabor's National Provider Identifier (NPI) is 1245100668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deranee Pearl Tabor's specialty?
- Deranee Pearl Tabor is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Deranee Pearl Tabor located?
- Deranee Pearl Tabor's practice location on file with NPPES is 541 S Ham Ln Ste A&b, Lodi, CA 95242-3059.
- What is Deranee Pearl Tabor's phone number?
- The practice phone number listed in the NPPES registry for Deranee Pearl Tabor is (209) 224-8940.
- Is Deranee Pearl Tabor's NPI active?
- Yes — Deranee Pearl Tabor's NPI (1245100668) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.