Johnette Dashay Board, NURSING LICENSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

286831 Issued in CA

Practice address

9134 Chimney Rock Ave
Hesperia, CA 92344-9261

Phone

(442) 251-1337

NPI assigned

May 30, 2019

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1245898774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9134 CHIMNEY ROCK AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449261",
            "telephone_number": "442-251-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9134 CHIMNEY ROCK AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923449261",
            "telephone_number": "442-251-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARD",
        "first_name": "JOHNETTE",
        "middle_name": "DASHAY",
        "name_prefix": "Prof.",
        "credential": "NURSING LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "286831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanser Beunes Soler, MD
• Harbir Bhullar, D.D.S.
• Carli Scott Bisaillon
• Cheryl Mae Bishop
• Frederick M Blum, MFT, PHD.
• Amber Louise Courtney Bobo
• Kimberly Michelle Bracone
• Brad W Hannon Inc
• Elisa Marie Starnes Braggins, LMFT
• Arlene Braham, MD

• Licensed Vocational Nurse in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.