MARY BOLADALEJOHNSON (NPI# 1437615549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437615549 |
| Entity Type | Individual |
| Full Name | MARY BOLADALEJOHNSON |
| Practice Address |
14711 223rd St Springfield Gardens NY 11413-4143 |
| Practice Telephone | 9179353719 |
| Mailing Telephone | 9179353719 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 333484 | NY | Nursing Service Providers |
| Street Address |
14711 223RD ST |
| City | SPRINGFIELD GARDENS |
| State | NY |
| Zip Code | 11413-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327054 | Mireille Conserve | Licensed Practical Nurse | 226 145th Ave, Spring Field, NY 11413 | 2019-10-08 |
| 1619433208 | Taina Baker | Nurse Practitioner | 143-71 229th Street, Springfield Gardens, NY 11413 | 2019-02-19 |
| 1942764915 | Jacqueline Archer | Registered Nurse | 2212 145 Road, Springfiled Gardens, NY 11413 | 2019-01-24 |
| 1841709524 | Sandra Williams | Specialist | 145-79 223 St, Springfield Gardens, NY 11413 | 2017-09-25 |
| 1508375478 | Tamara Williams | Registered Nurse | 142-29 231 St, Springfield Gardens, NY 11413 | 2017-09-23 |
| 1184140113 | Igbans Home Care Services | Home Health | 21834 139 Avenue, Springfield Gardens, NY 11413 | 2017-08-22 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1174061741 | Assured Home Companion Care Inc | Home Health | 13519 221st St, Laurelton, NY 11413 | 2017-02-03 |
| 1831631084 | Grace Elizabeth Jaramillo | Home Health | 135-11 229 Street, Ph, Laurelton, NY 11413 | 2016-11-04 |
| 1720530504 | Nadine Gordon | Licensed Practical Nurse | 182 03 143rd Ave, Springfield Garden, NY 11413 | 2016-10-27 |
| Find all providers in zip 11413 | ||||
| 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 |
|---|---|---|---|---|
| 1972150183 | Natasha Smith | Licensed Practical Nurse | 21818 137th Ave, Springfield Gardens, NY 11413-2214 | 2019-08-22 |
| 1477034080 | Losilita Shepherd | Licensed Practical Nurse | 14324 181st St, Springfield Gardens, NY 11413-3217 | 2018-08-22 |
| 1366965402 | Sasha-keene Bramwell | Licensed Practical Nurse | 21911 145th Ave, Springfield Gardens, NY 11413-3412 | 2017-07-20 |
| 1316460512 | Candice Anthony | Licensed Practical Nurse | 144-29 183rd Street, 2nd Unit, Springfield Gardens, NY 11413-1141 | 2017-07-19 |
| 1689126195 | Lloni Abbott | Licensed Practical Nurse | 21902 131st Ave, Springfield Gardens, NY 11413-1507 | 2016-10-31 |
| 1689125726 | Marshialyn Georgia Spencer-kelly | Licensed Practical Nurse | 12114 193rd St, Springfield Gardens, NY 11413-1122 | 2016-10-24 |
| 1427508183 | Kameika Samuels | Licensed Practical Nurse | 22208 147th Ave, Springfield Gardens, NY 11413-3825 | 2016-10-06 |
| 1396108809 | Shearon Thompson | Licensed Practical Nurse | 14516 226th St, Springfield Gardens, NY 11413-3534 | 2016-04-01 |
| 1134587413 | Katie Dandy | Licensed Practical Nurse | 14622 221st St Fl 1, Springfield Gardens, NY 11413-3833 | 2016-02-02 |
| 1205209467 | Melissa Joseph | Licensed Practical Nurse | 14736 225th St, Springfield Gardens, NY 11413-4101 | 2015-11-09 |
| Find all providers in SPRINGFIELD GARDENS | ||||
| City | SPRINGFIELD GARDENS |
| Zip Code | 11413 |
Please comment or provide details below to improve the information on MARY BOLADALEJOHNSON.
| 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.