MRS. LISA M COONROD (NPI# 1356530786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356530786 |
| Entity Type | Individual |
| Full Name | MRS. LISA M COONROD |
| Credential | RN, BSN |
| Practice Address |
34452 Fish Hatchery Rd Mentone CA 92359-0122 |
| Mailing Address |
Po Box 122 Mentone CA 92359-0122 |
| Practice Telephone | 9097941743 |
| Mailing Telephone | 9097941743 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 473901 | CA | Nursing Service Providers |
| Street Address |
34452 FISH HATCHERY RD |
| City | MENTONE |
| State | CA |
| Zip Code | 92359-0122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275010852 | Pingkan Leilani Simauw | Case Manager/Care Coordinator | 10360 Rock St, Mentone, CA 92359 | 2018-07-25 |
| 1861676033 | Laurel Elizabeth Slater | Registered Nurse | 34346 Fishhatchery Rd, Mentone, CA 92359 | 2007-12-24 |
| 1841759768 | Christy Hart | Counselor | 1336 Wabash Ave, Mentone, CA 92359-1124 | 2019-03-19 |
| 1790923753 | Rose Garden Residential Care | Alzheimer Center (Dementia Center) | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2009-01-29 |
| 1851639405 | Rose Garden Residential Operator, LLC | Assisted Living Facility | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2013-01-16 |
| 1801150164 | Tania Marie Mccracken | Midwife | 1378 Turquoise Ave, Mentone, CA 92359-1257 | 2012-07-01 |
| 1033263298 | James Patrick Caley Dds | Dentist | 1856 Mentone Blvd Ste B, Mentone, CA 92359-1276 | 2007-01-23 |
| 1770803546 | Building A Generation | Early Intervention Provider Agency | 1320 Crafton Ave, Mentone, CA 92359-1318 | 2010-06-03 |
| 1710544713 | Elizabeth An Hess | Behavior Technician | 1365 Crafton Ave Apt 2092, Mentone, CA 92359-1354 | 2019-05-24 |
| 1346588811 | Vineet Kumar Sharma | Student in an Organized Health Care Education/Training Program | 10178 Basalt Ln, Mentone, CA 92359-1365 | 2013-01-17 |
| Find all providers in zip 92359 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1861676033 | Laurel Elizabeth Slater | Registered Nurse | 34346 Fishhatchery Rd, Mentone, CA 92359 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104644 | Eunice Wanjugu Gachomo | Registered Nurse | 31620 Pompei Ln, Winchester, CA 92596-8695 | 2020-11-08 |
| 1972104990 | Joseph Chua | Registered Nurse | 11350 River Knoll Dr, Riverside, CA 92505-5148 | 2020-11-05 |
| 1578164604 | Thuy Tho Le | Registered Nurse | 683 Veranda Cir, Hayward, CA 94541-6539 | 2020-11-04 |
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1942801162 | Eric Longenecker | Registered Nurse | 2727 Honeysuckle Way, Sacramento, CA 95826-3118 | 2020-11-04 |
| 1245831536 | Denise Zaremba | Registered Nurse | 303 E. Vanderbilt Way, Suite 300, San Bernardino, CA 92415-0026 | 2020-11-04 |
| 1700486396 | Royke Rantung | Registered Nurse | 22431 Terrace Pines Dr Apt D, Grand Terrace, CA 92313-5059 | 2020-10-31 |
| 1134729957 | Sara Jensen | Registered Nurse | 5715 Baltimore Dr Unit 139, La Mesa, CA 91942-4247 | 2020-10-30 |
| 1376143065 | Darya Shmidt | Registered Nurse | 3205 Los Feliz Blvd Apt 13-207, Los Angeles, CA 90039-1518 | 2020-10-30 |
| 1588264360 | Jocelyn Julia Ho | Registered Nurse | 795 Burnett Ave Apt 8, San Francisco, CA 94131-1418 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.