MRS. ELISABETH SUSANNE HENDERSON (NPI# 1972028876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972028876 |
| Entity Type | Individual |
| Full Name | MRS. ELISABETH SUSANNE HENDERSON |
| Credential | LVN |
| Practice Address |
1775 Chestnut Ave Long Beach CA 90813-1674 |
| Practice Telephone | 5625998444 |
| Practice Fax Number | 5625995235 |
| Mailing Telephone | 5625998444 |
| Mailing Fax Number | 5625995235 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 232021 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED VOCATIONAL NURSE | 232021 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376934 | Elisabeth Catherine Henderson | Physician Assistant | 98 Wolf Rd Ste 16, Albany, NY 12205-1226 | 2017-06-15 |
| Street Address |
1775 CHESTNUT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083752125 | Chantell Cuaron | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813 | 2007-02-01 |
| 1144821935 | Edgar Isidoro | Counselor | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-11-06 |
| 1881291292 | Nataliya Polyanchykova | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-10-08 |
| 1982225348 | Destiny Deja Pitts | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-04-27 |
| 1235764630 | Conrad Bonilla | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-03-05 |
| 1689207953 | Benjamin Josiah Dosch | Social Worker | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-02-14 |
| 1831729169 | Karen Lynn Baugh | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2020-01-26 |
| 1144869645 | Cynthia Yvette Ross | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-31 |
| 1164061800 | Tana Queen | Licensed Vocational Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-28 |
| 1871130963 | Carolina Martinez | Registered Nurse | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| 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 |
| 1013396340 | Coulsander Johnson | Licensed Vocational Nurse | 2090 Myrtle Ave, Long Beach, CA 90806-4932 | 2015-05-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.