MRS. KATHLEEN CAROL BRAWLEY (NPI# 1760698807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760698807 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN CAROL BRAWLEY |
| Credential | LVN |
| Practice Address |
3445 Clement Ave Stockton CA 95204-1218 |
| Practice Telephone | 2094653528 |
| Mailing Telephone | 2094653528 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN189104 | CA | Nursing Service Providers |
| Street Address |
3445 CLEMENT AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1801412713 | Janelle Gamble | Licensed Vocational Nurse | 9289 Branstetter Pl, Stockton, CA 95209-1700 | 2020-06-17 |
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1871145730 | Maribel Lopez | Licensed Vocational Nurse | 97 W Adams St, Stockton, CA 95204-5332 | 2019-07-11 |
| 1134787476 | Sheila Tarroza Villanueva | Licensed Vocational Nurse | 1646 Sicily St, Stockton, CA 95206-6334 | 2019-06-02 |
| 1841767100 | Maria Brenda Garsuta | Licensed Vocational Nurse | 1947 N California St # B&c, Stockton, CA 95204-6029 | 2018-10-25 |
| 1104360379 | Carisa Morones | Licensed Vocational Nurse | 2856 Marietta Ct, Stockton, CA 95207-2306 | 2016-12-07 |
| 1144679333 | Jerri Khammanh | Licensed Vocational Nurse | 4965 Betty Mae Dr, Stockton, CA 95212-3040 | 2016-06-08 |
| 1932554573 | Linda Hing-moreyra | Licensed Vocational Nurse | 5531 Sandpiper Ct, Stockton, CA 95207-5417 | 2016-05-02 |
| 1982089413 | Sasha Russell | Licensed Vocational Nurse | 718 Beeler St, Stockton, CA 95204-3542 | 2015-07-27 |
| 1821470154 | Kalashai Porter | Licensed Vocational Nurse | 1639 Barcelona Ave, Stockton, CA 95209-2505 | 2015-06-23 |
| Find all providers in STOCKTON | ||||
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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.