KENJIE SHANNELL NWOSU (NPI# 1235659145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235659145 |
| Entity Type | Individual |
| Full Name | KENJIE SHANNELL NWOSU |
| Practice Address |
1907 Boys Republic Dr Chino Hills CA 91709 |
| Mailing Address |
1907 Boys Republic Dr Chino Hills CA 91709-5447 |
| Practice Telephone | 9096281217 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1907 BOYS REPUBLIC DR |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053489567 | David John Palmer | Social Worker | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2006-12-01 |
| 1366050726 | Aaron-john Villon | Counselor | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-07-21 |
| 1083237358 | Taylor Shannon Quaranta | Marriage & Family Therapist | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-21 |
| 1427671916 | Brittney Lewis | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-19 |
| 1568084176 | Jocael Suarez | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-18 |
| 1528699808 | Monica Zamora | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1437780780 | Kaiameka Brown | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1699315457 | Auston Johnson | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1073153813 | Cedric Julius | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1780224576 | Joseph Raymond Mascarenaz | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729829 | Mara Kamyl Perez Custodio | Student in an Organized Health Care Education/Training Program | 1626 Falling Star Ln, Chino Hills, CA 91709-4804 | 2020-04-20 |
| 1801442611 | Christopher Armand Blais | Student in an Organized Health Care Education/Training Program | 15050 Monte Vista Ave Spc 29, Chino Hills, CA 91709-5703 | 2019-08-16 |
| 1417495243 | Madison Madewell | Student in an Organized Health Care Education/Training Program | 3463 Clipper Dr, Chino Hills, CA 91709-3621 | 2017-01-31 |
| 1932737566 | Alice Huai-yu Li | Student in an Organized Health Care Education/Training Program | 1531 Rancho Hills Dr, Chino Hills, CA 91709-6247 | 2020-03-30 |
| 1619467016 | Gaurang Rana | Student in an Organized Health Care Education/Training Program | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2018-05-11 |
| 1487742979 | Benny J. Guzman, M.d., Corporation | Student in an Organized Health Care Education/Training Program | 5827 Pine Ave, Suite A, Chino Hills, CA 91709-6534 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.