Gina Maureen Cleveland, LVN, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN090192 Issued in GA

Practice address

417 Ballymore Pass
Woodstock, GA 30189-7418

Phone

(559) 760-8641

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861629735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BALLYMORE PASS",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897418",
            "telephone_number": "559-760-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BALLYMORE PASS",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897418",
            "telephone_number": "559-760-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "GINA",
        "middle_name": "MAUREEN",
        "name_prefix": "Miss",
        "credential": "LVN, LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN237459",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN090192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Clark, LMSW
• Claudia E. Tomaselli, D.M.D., P.C.
• Wilfredo Bernardo Clavecilla, PT
• Cleary Family Chiropractic LLC
• Matthew B Cleary, D.C.
• Cynthia Wiginton Cloud, RPH
• CML Family Chiropractic, Inc
• Coaching Inspirations
• Daniel Cobery
• Clayton Lindon Cofer

• Licensed Practical Nurse in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.