Vivian Shantella Cole

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

242121 Issued in CA

Practice address

16917 Clark Ave
Bellflower, CA 90706-5703

Phone

(562) 866-7054

Fax

(714) 289-3938

NPI assigned

Jul 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1124514062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E 10TH ST APT 18",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135046",
            "telephone_number": "562-387-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16917 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065703",
            "telephone_number": "562-866-7054",
            "fax_number": "714-289-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "VIVIAN",
        "middle_name": "SHANTELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "242121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Espie Claudio, DMD
• Cristina Rose Clifford, L.AC., MSOM
• Clinical Innovations, Inc.
• Swayne Anthony Cofield, MD
• Steven Wade Cohen, M.F.C.C.
• David M. Coleman, MD
• Raylene F. Coleman, MD
• Craig A. Coletta, MD
• Jaqueline Colindres Melgar
• Endica Collins, NP

• All providers in Bellflower, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.