MICHELLE MARLYS SOUTH (NPI# 1699045450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699045450 |
| Entity Type | Individual |
| Full Name | MICHELLE MARLYS SOUTH |
| Credential | LVN |
| Practice Address |
18285 China Grade Rd #3 Boulder Creek CA 95006-9188 |
| Mailing Address |
18285 China Grade Rd Spc 3 Boulder Creek CA 95006-9100 |
| Practice Telephone | 8314193116 |
| Mailing Telephone | 8314193116 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 220999 | CA | Nursing Service Providers |
| Street Address |
18285 CHINA GRADE RD #3 |
| City | BOULDER CREEK |
| State | CA |
| Zip Code | 95006-9188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1144396292 | Erin Eileen Carlson-jones | Social Worker | 1600 W. Campbell Ave., Suite 201, Campbell, CA 95006 | 2006-11-28 |
| 1386722353 | Debra Ann Woo | Dentist | 12880 Hwy 9, Boulder Creek, CA 95006 | 2006-11-01 |
| 1578643862 | Julie Anya Broder | Acupuncturist | 12704 Hwy 9, Boulder Creek, CA 95006 | 2006-10-17 |
| 1629165584 | Boulder Creek Pharmacy | Pharmacy | 13081 Central Ave, Boulder Creek, CA 95006 | 2006-10-10 |
| 1730182163 | Howard & Tibbetts Physical Therapy, Inc. | Physical Therapist | 13350 West Park Ave, Ste A2, Boulder Creek, CA 95006 | 2005-05-31 |
| 1467570697 | Christopher Ernest Mayer | Pharmacist | 13081 Central Ave, Boulder Creek, CA 95006 | 2007-03-26 |
| 1932282498 | Julia Diane Crawford | Family Medicine | 13350 Big Basin Way, Boulder Creek, CA 95006 | 2006-10-20 |
| 1427460823 | Jordenne Rachelle | Counselor | 133 Grove St, Boulder Creek, CA 95006-8910 | 2014-05-20 |
| 1790710515 | Patrick Brendan Rogers | Chiropractor | 13266 Highway 9, Suite A, Boulder Creek, CA 95006-8913 | 2006-07-11 |
| Find all providers in zip 95006 | ||||
| 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 |
|---|---|---|---|---|
| 1255931846 | Deanna Barfield | Licensed Vocational Nurse | 9633 Laurel St, Bellflower, CA 90706-5318 | 2020-10-31 |
| 1710587639 | Steven Wheeler Knight Thomspon | Licensed Vocational Nurse | 10960 Poppy Field Cir, Moreno Valley, CA 92557-3912 | 2020-10-29 |
| 1942800982 | Michelle Marie Toman | Licensed Vocational Nurse | 900 Weber Cir Apt 105, Ventura, CA 93003-8248 | 2020-10-29 |
| 1326647876 | Valeria Brinkers | Licensed Vocational Nurse | 1225 Calle Fantasia, San Marcos, CA 92069-7353 | 2020-10-25 |
| 1417556374 | Rainville Love Dela Salde | Licensed Vocational Nurse | 1300 Adams Ave Apt 12a, Costa Mesa, CA 92626-8315 | 2020-10-21 |
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1689273674 | To Yen Ruby Ngo | Licensed Vocational Nurse | 10501 Valley Blvd Ste 1200, El Monte, CA 91731-3617 | 2020-10-21 |
| 1699374991 | Patricia Ann Perkins | Licensed Vocational Nurse | 3210 Madera Pl, Oxnard, CA 93033-5756 | 2020-10-19 |
| 1003415308 | Veronica Esparza | Licensed Vocational Nurse | 315 E Ventura St Apt 6, Santa Paula, CA 93060-3824 | 2020-10-19 |
| 1649878166 | Crystal Shin | Licensed Vocational Nurse | 3785 Wilshire Blvd Apt 1804, Los Angeles, CA 90010-2893 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CREEK |
| Zip Code | 95006 |
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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.