NYESHIA ELIZABETH KENNEDY (NPI# 1265074223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265074223 |
| Entity Type | Individual |
| Full Name | NYESHIA ELIZABETH KENNEDY |
| Practice Address |
390 40th St Oakland CA 94609-2633 |
| Practice Telephone | 5106130330 |
| Practice Fax Number | 5105694589 |
| Mailing Telephone | 5106130330 |
| Mailing Fax Number | 5105694589 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN701716 | CA | Nursing Service Providers |
| Street Address |
390 40TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831267418 | Catherine Anne Mcdonald | Pediatrics | 390 40th St, Oakland, CA 94609-2633 | 2006-12-01 |
| 1245831502 | Cassandra Beck | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-11-03 |
| 1306445911 | Kamilah Aisha Puckett | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-10-23 |
| 1801403662 | Donna M Scott | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-09-25 |
| 1902412026 | Carolyn Mariru Kojima | Social Worker | 390 40th St, Oakland, CA 94609-2633 | 2020-09-23 |
| 1699388702 | Donyell Meyung Crin Sr. | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-28 |
| 1164034906 | Mercie Tiara Jones | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-22 |
| 1023629102 | David Colburn Armstrong | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-12 |
| 1790303766 | Richard Robinson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
| 1114545183 | Sidonia Mapp | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| 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 |
|---|---|---|---|---|
| 1396267985 | Tracy L Dickson | Licensed Vocational Nurse | 219 Bergedo Dr, Oakland, CA 94603-3509 | 2017-07-14 |
| 1477960441 | Myra Francine Stewart | Licensed Vocational Nurse | 1611 92nd Ave, A, Oakland, CA 94603-1509 | 2014-07-22 |
| 1356754436 | Dorothy Lawson | Licensed Vocational Nurse | 1658 74th Ave, Oakland, CA 94621-2826 | 2014-06-06 |
| 1821350307 | Georgia Carole Daggs | Licensed Vocational Nurse | 3133 38th Ave, Oakland, CA 94619-1259 | 2012-06-11 |
| 1043599111 | Roshontae Henley | Licensed Vocational Nurse | 280 Park View Ter, Oakland, CA 94610-4570 | 2011-08-08 |
| 1912140393 | Jennifer Miller | Licensed Vocational Nurse | 949 45th St, Oakland, CA 94608-3413 | 2009-04-14 |
| 1790979854 | Cynthia Ann Starks | Licensed Vocational Nurse | 2433 65th Ave, Oakland, CA 94605-1906 | 2007-08-31 |
| 1306445911 | Kamilah Aisha Puckett | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-10-23 |
| 1134740038 | Tiffany Yvette Paul | Licensed Vocational Nurse | 516 31st St, Oakland, CA 94609-3204 | 2020-05-01 |
| 1073148565 | Ashley Grace Fisher | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-03-05 |
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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.