Joandra Cornelius-Johnson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1600 E Desert Inn Rd Ste 120
Las Vegas, NV 89169-2505

Phone

(702) 326-8594

NPI assigned

Dec 30, 2014

Last updated

Feb 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1St Advance Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1659768745
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1093103913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COTTONWOOD PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041702",
            "telephone_number": "702-326-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-326-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS-JOHNSON",
        "first_name": "JOANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659768745",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Lorena Cornejo, RN
• Victoria Rose Cornejo
• Julieta Cornel
• Nakia Cornelious
• Tiffany Cornelis, CPC-I
• Cheryl Cornelius, MET
• Alexandra E Cornell, COTA/L
• Deborah Cornell, M.D.
• Monica Lynn Cornell
• Stanley Parkes Cornell Jr.

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.