CHOLENA HUMPHREY (NPI# 1619583804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619583804 |
| Entity Type | Individual |
| Full Name | CHOLENA HUMPHREY |
| Practice Address |
6350 Cerritos Ave Long Beach CA 90805-2414 |
| Mailing Address |
21505 Norwalk Blvd Hawaiian Gardens CA 90716-1121 |
| Practice Telephone | 5625072990 |
| Mailing Telephone | 5629167581 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN713147 | CA | Nursing Service Providers |
| Street Address |
6350 CERRITOS AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1780082131 | Alicia Gibson | Licensed Vocational Nurse | 1775 Chestnut Ave Ste 505, Long Beach, CA 90813-1674 | 2014-12-17 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.