Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMRA ELLEN ST JOHN LVN
NPI 1053919084
Licensed Vocational Nurse in Sacramento, CA

Q: What is Tamra St John's NPI number?

The NPI number for Tamra St John is 1053919084. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Q: What is Tamra St John's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Tamra St John was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2020

1103 N B ST STE E, SACRAMENTO, CA 95811(916) 378-8266 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Oct 12, 2020 (2 updates tracked since 2020).

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About Tamra Ellen St John Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMRA ELLEN ST JOHN LVN (NPI 1053919084) is an individual licensed vocational nurse in Sacramento, California, licensed in California (713484) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1053919084

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameTAMRA ELLEN ST JOHNCredential: LVN

Location Address1103 N B ST STE ESacramento, CA 95811-0326

Mailing Address171 Balboa AveSan Jose, CA 95116-1310 · (419) 260-3262

Phone(916) 378-8266

Sole ProprietorYes

Enumeration DateOctober 12, 2020

Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1053919084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 713484

Definition

A licensed vocational nurse 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.

1103 N B ST STE E, Sacramento, CA 95811

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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