KELLY MICHELLE COTTINGHAM (NPI# 1841603339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841603339 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE COTTINGHAM |
| Credential | LVN |
| Practice Address |
350 W. Fifth Street Suite 212 San Bernardino CA 92401 |
| Mailing Address |
2859 Silver Saddle Street Ontario CA 91761 |
| Practice Telephone | 9093861821 |
| Mailing Telephone | 9099994124 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 232113 | CA | Nursing Service Providers |
| Street Address |
350 W. FIFTH STREET SUITE 212 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| 1013149327 | Athena Christine Farmer | Massage Therapist | 123 North E Street, Lalama Chiropractic Offices, San Bernardino, CA 92401 | 2009-08-20 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical 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. 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 |
|---|---|---|---|---|
| 1962793091 | Bernard Nunez Cruz | Licensed Practical Nurse | 2166 E Jane St, San Bernardino, CA 92404-6125 | 2011-04-23 |
| 1750638037 | Beatrice Lynette Bailey | Licensed Practical Nurse | 249 E Highland Ave, San Bernardino, CA 92404-3707 | 2012-08-06 |
| 1730217266 | Grete Bakland | Licensed Practical Nurse | 1454 E 2nd St, San Bernardino, CA 92408-0118 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on KELLY MICHELLE COTTINGHAM.
| 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.