Lashaunda Burnside
Individual provider Active NPI Case Manager/Care Coordinator · Mojave, CA
NPI 1639736648 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1639736648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 16940 Highway 14 Ste C-J
Mojave, CA 93501-1238 - Phone
- (661) 824-5020
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste C-J
Mojave, CA 93501-1238
Mailing address
38722 11TH St E Apt 77
Palmdale, CA 93550-2874
Phone (818) 676-9282
Other providers in Mojave, CA
- Judith Angela Bernard
- Heather Bishop
- Esmeralda Bravo
- Kristy Ann Brown
- Lisa Brunsell
- Camino Seguro LLC
- Angela Carapia
- Janis E Cariveau
- Heidi Ann Chase
- Alejandro Chetto
All providers in Mojave, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.