LAUREN KONGKEOVIMAN (NPI# 1912515933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912515933 |
| Entity Type | Individual |
| Full Name | LAUREN KONGKEOVIMAN |
| Credential | LVN |
| Practice Address |
1850 Walnut St Red Bluff CA 96080-3611 |
| Mailing Address |
1090 E Cypress Ave Ste B Redding CA 96002-1163 |
| Practice Telephone | 5305276824 |
| Mailing Telephone | 5302232332 |
| Mailing Fax Number | 5302234721 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 696508 | CA | Nursing Service Providers |
| Street Address |
1850 WALNUT ST |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842232 | Jon Daniel Malan | Family Medicine | 1850 Walnut St, Red Bluff, CA 96080 | 2005-06-24 |
| 1851901714 | Nancy Bustos-gutierrez | Behavior Technician | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2020-08-05 |
| 1114563921 | Alesha Rae Tafoya | Licensed Vocational Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-11-27 |
| 1285198424 | Giselle Carrillo | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-01-22 |
| 1821567579 | Lacy Elaine Hook | Nurse Practitioner | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-23 |
| 1134698301 | Maria R Peek Holbrook | Case Manager/Care Coordinator | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-11-17 |
| 1376023374 | Katherine N Fritchman | Marriage & Family Therapist | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2018-08-19 |
| 1053839936 | County of Tehama | Clinic/Center | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2017-08-31 |
| 1457899031 | Debra Weaver | Registered Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2017-02-03 |
| 1679024509 | Adam Zuccato | Counselor | 1850 Walnut St, Suite G, Red Bluff, CA 96080-3611 | 2016-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1922420769 | Patricia Renee Rice | Licensed Vocational Nurse | 1343 Deborah Dr, Red Bluff, CA 96080-3972 | 2014-01-14 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1720259674 | Bernadette M Sutherland | Licensed Vocational Nurse | 1860 Walnut St # B, Red Bluff, CA 96080-3611 | 2008-03-19 |
| 1942810288 | Nicole Lynn Bell | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-08-02 |
| 1588273072 | Yolanda Dawn Cardenas | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-07-30 |
| 1902414923 | Nathan Watson | Licensed Vocational Nurse | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2020-07-15 |
| 1376183038 | Wendy Sue Ream | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2020-01-10 |
| 1114563921 | Alesha Rae Tafoya | Licensed Vocational Nurse | 1850 Walnut St, Red Bluff, CA 96080-3611 | 2019-11-27 |
| 1770040909 | Hannah Emily Rogers | Licensed Vocational Nurse | 1860 Walnut St Ste B, Red Bluff, CA 96080-3611 | 2019-02-24 |
| 1841768736 | Maria Teresa Osorio | Licensed Vocational Nurse | 818 Main St, Red Bluff, CA 96080-2759 | 2018-11-08 |
| Find all providers in RED BLUFF | ||||
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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.