COULSANDER JOHNSON (NPI# 1013396340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013396340 |
| Entity Type | Individual |
| Full Name | COULSANDER JOHNSON |
| Practice Address |
2090 Myrtle Ave Long Beach CA 90806-4932 |
| Practice Telephone | 5622303354 |
| Practice Fax Number | 5622471822 |
| Mailing Telephone | 5622303354 |
| Mailing Fax Number | 5622471822 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN192615 | CA | Nursing Service Providers |
| N | 251E00000X | Home Health | Agencies | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
2090 MYRTLE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583804 | Cholena Humphrey | Licensed Vocational Nurse | 6350 Cerritos Ave, Long Beach, CA 90805-2414 | 2020-09-22 |
| 1538717681 | Lashanda Brown | Licensed Vocational Nurse | 1775 Chestnut Ave # 64, Long Beach, CA 90813-1674 | 2019-09-02 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1760905418 | Gwendolyn June Hawkins | Licensed Vocational Nurse | 6871 E Kallin Way, Long Beach, CA 90815-5007 | 2017-07-24 |
| 1316469018 | Susana Ivette Rostro | Licensed Vocational Nurse | 1261 E 3rd St, Long Beach, CA 90802-3602 | 2017-07-13 |
| 1558714105 | Stashanae Reegan | Licensed Vocational Nurse | 5700 Ackerfield Ave Apt 210, Long Beach, CA 90805-4975 | 2016-07-19 |
| 1982056883 | Diana Morrow | Licensed Vocational Nurse | 1021 E Carson St Apt 4, Long Beach, CA 90807-3632 | 2016-07-05 |
| 1720451057 | Stacey Chhem | Licensed Vocational Nurse | 1934 Chestnut Ave, Apt 104, Long Beach, CA 90806-5380 | 2015-11-09 |
| 1417332842 | Marilou Villanueva | Licensed Vocational Nurse | 1385 W 33rd St, Long Beach, CA 90810-2544 | 2015-07-27 |
| 1780082131 | Alicia Gibson | Licensed Vocational Nurse | 1775 Chestnut Ave Ste 505, Long Beach, CA 90813-1674 | 2014-12-17 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.