MRS. ROSHALLY ELVY HUTABARAT (NPI# 1679760573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679760573 |
| Entity Type | Individual |
| Full Name | MRS. ROSHALLY ELVY HUTABARAT |
| Credential | LVN |
| Practice Address |
264 E 18th St San Bernardino CA 92404-4708 |
| Mailing Address |
25502 Portola Loop Loma Linda CA 92354 |
| Practice Telephone | 9098830288 |
| Mailing Telephone | 9097962303 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VA 209395 | CA | Nursing Service Providers |
| Street Address |
264 E 18TH ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1790291839 | Leilin Elizabeth Briscoe | Licensed Vocational Nurse | 1173 N D St, San Bernardino, CA 92410-3523 | 2017-12-27 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1356705289 | Mary Rios-castorena | Licensed Vocational Nurse | 1216 W 23rd St, San Bernardino, CA 92405-3020 | 2016-04-06 |
| 1982073789 | Monique Sheree Platt | Licensed Vocational Nurse | 2606 Birch Street, San Bernardino, CA 92410-1918 | 2015-09-22 |
| 1548638927 | Ashley Bishop | Licensed Vocational Nurse | 4495 Bronson St, San Bernardino, CA 92407-6811 | 2015-09-02 |
| 1669879284 | Cristina Flores | Licensed Vocational Nurse | 4835 N F St, San Bernardino, CA 92407-3122 | 2014-11-25 |
| 1497151468 | Estrellita Munoz | Licensed Vocational Nurse | 2080 South E Street, San Bernardino, CA 92408 | 2014-11-18 |
| 1407267230 | Michelle Underwood | Licensed Vocational Nurse | 1045 W Olive St, San Bernardino, CA 92411-2323 | 2014-05-14 |
| 1740582337 | Jessika Leigh Beach | Licensed Vocational Nurse | 845 W 56th St, San Bernardino, CA 92407-5301 | 2010-12-02 |
| 1841508835 | Jacqlyn Tamara Jamerson | Licensed Vocational Nurse | 357 W 44th St, #8, San Bernardino, CA 92407-3646 | 2010-09-23 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on MRS. ROSHALLY ELVY HUTABARAT.
| 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.