Michelle Veronica Cole, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

290853 Issued in CA

Practice address

13682 Yorba St
Tustin, CA 92780-1831

Phone

(714) 730-5399

Fax

(714) 730-3505

NPI assigned

Oct 29, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1902253560
  NPD (past)
• Recovery Homes of America Inc

  • Substance Abuse Rehabilitation Facility
  • Tustin, CA
  • NPI 1962549295
  NPD (past)

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1326648288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CIRCLE DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312727",
            "telephone_number": "562-447-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13682 YORBA ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801831",
            "telephone_number": "714-730-5399",
            "fax_number": "714-730-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "MICHELLE",
        "middle_name": "VERONICA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "290853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN",
            "identifier": "290853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne M. Cohen
• Janice P. Coia, DPM
• Marissa Colangelo, LCSW
• Cole Vision Corporation
• Cynthia A. Cole-Larsen, M.S., MFT
• Nicole Coleman
• Molly Ann Coler, MFT
• Compass Behavioral Health, a Family Therapy Corp
• Compass Behavioral Health, a Family Therapy Corp
• Compass Behavioral Health, a Family Therapy Corp

• Licensed Vocational Nurse in Tustin, CA
• Providers in Tustin, 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 Oct 29, 2020; 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.