| |
911 N Buffalo Dr Unit 213 Las Vegas NV 89128-0381 | |
(702) 405-8088 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 911 N Buffalo Dr Unit 213, Las Vegas, Nevada |
Authorized Official Name and Position | Jamie Brown (BUSINESS MANAGER) |
Authorized Official Contact | 7024058088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 752003 Las Vegas NV 89136-2003 Ph: (702) 405-8088 | 911 N Buffalo Dr Unit 213 Las Vegas NV 89128-0381 Ph: (702) 405-8088 |
NPI Number | 1821537242 |
---|---|
Provider Enumeration Date | 02/17/2017 |
Last Update Date | 01/02/2024 |
Certification Date | 01/02/2024 |
Medicare PECOS PAC ID | 8820365729 |
---|---|
Medicare Enrollment ID | O20170524002816 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821537242 | NPI | - | NPPES |
1402445552 | Other | NV | NEVADXA |
1402445552 | Medicaid | NV |
Provider Name | Nicole Renee Vaughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023469202 PECOS PAC ID: 5890081004 Enrollment ID: I20160913002837 |
Provider Name | Angela Alesi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760411318 PECOS PAC ID: 1557301579 Enrollment ID: I20190717003133 |
Provider Name | Melanie Celeste Lasseigne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598292666 PECOS PAC ID: 5193051209 Enrollment ID: I20190727000094 |
Provider Name | Celeste Turner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184178030 PECOS PAC ID: 6103254875 Enrollment ID: I20200311000633 |
Provider Name | Bethany Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205459310 PECOS PAC ID: 3173943065 Enrollment ID: I20201014002526 |
Provider Name | Susan Candelaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992396998 PECOS PAC ID: 4587079488 Enrollment ID: I20210225002802 |
Provider Name | Persia A Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861825341 PECOS PAC ID: 4981025772 Enrollment ID: I20210721004096 |
Provider Name | Monica Lee Chandler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144772112 PECOS PAC ID: 1254735707 Enrollment ID: I20210805003353 |
Provider Name | Michael Lcsw Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003195538 PECOS PAC ID: 2264836568 Enrollment ID: I20210809003296 |
Provider Name | Jerri L Bracey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023625688 PECOS PAC ID: 3678961174 Enrollment ID: I20211103001015 |
Provider Name | Jennifer Russo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407200413 PECOS PAC ID: 3971984394 Enrollment ID: I20220718000728 |
Provider Name | Michael Huang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548716004 PECOS PAC ID: 6507248333 Enrollment ID: I20220726003916 |
Provider Name | Shelley Dawn Guarnera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174254411 PECOS PAC ID: 5294101317 Enrollment ID: I20221014000936 |
Provider Name | Evans Y Azagidi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528530763 PECOS PAC ID: 0446621700 Enrollment ID: I20230124001510 |
Provider Name | Elizabeth Rupisan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619685179 PECOS PAC ID: 3971975608 Enrollment ID: I20230207000930 |
Provider Name | Jennifer Nichole Mercier |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083123764 PECOS PAC ID: 4082086350 Enrollment ID: I20230214003085 |
Provider Name | Barbra Dale Scheirer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699404681 PECOS PAC ID: 1759746506 Enrollment ID: I20230429000234 |
Provider Name | Sam Hawkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912695487 PECOS PAC ID: 1658737036 Enrollment ID: I20230510002842 |
Provider Name | Christian Louis Coronel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710687694 PECOS PAC ID: 5991161598 Enrollment ID: I20230524003271 |
Provider Name | Maria Mondonedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356052765 PECOS PAC ID: 8628423738 Enrollment ID: I20231010001937 |
Provider Name | Reymon Japor Ulan |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1891330809 PECOS PAC ID: 6709238793 Enrollment ID: I20240115001967 |
Provider Name | Jessica Lauren Holding |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1083023758 PECOS PAC ID: 9739531534 Enrollment ID: I20240117002599 |
Provider Name | Carolyn Denise Mcgee |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1518408632 PECOS PAC ID: 2264884980 Enrollment ID: I20240118002272 |
Provider Name | Eileen Michelle Salazar |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346852712 PECOS PAC ID: 8921451949 Enrollment ID: I20240125004308 |
Provider Name | Morgan Futch Moumouris |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1033628532 PECOS PAC ID: 2668825191 Enrollment ID: I20240131002195 |
Provider Name | Ryan Fullenwiley-jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558909549 PECOS PAC ID: 3577906114 Enrollment ID: I20240209003601 |
Provider Name | Precious L Martin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952985046 PECOS PAC ID: 1052755675 Enrollment ID: I20240221004109 |
Provider Name | Donna Jan Alog |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992571491 PECOS PAC ID: 5799120499 Enrollment ID: I20240305000167 |
Provider Name | Mariah Elizabeth Abeyta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417712506 PECOS PAC ID: 3173961687 Enrollment ID: I20240403001672 |
Provider Name | Frank Ngbeken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235827148 PECOS PAC ID: 4880032333 Enrollment ID: I20240403003055 |
Provider Name | Josil George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629829643 PECOS PAC ID: 4284074741 Enrollment ID: I20240501000148 |
Provider Name | Sarah Riopelle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437888237 PECOS PAC ID: 8426490046 Enrollment ID: I20240529000921 |
Provider Name | Faith Salvador |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336907385 PECOS PAC ID: 1557803467 Enrollment ID: I20240606003575 |
Provider Name | Jennifer Lynn Vroman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245095314 PECOS PAC ID: 6709328321 Enrollment ID: I20240610003822 |
Provider Name | Christine Grace Monieno Adol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225809619 PECOS PAC ID: 2567905425 Enrollment ID: I20240619002432 |
Provider Name | Amy Dawn Hugle |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548509391 PECOS PAC ID: 3173062429 Enrollment ID: I20240829004230 |
Provider Name | Rasheda L Anderson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699157727 PECOS PAC ID: 5193265452 Enrollment ID: I20240912003700 |
Provider Name | Alexandria Nelson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306604384 PECOS PAC ID: 5193257343 Enrollment ID: I20241014002312 |
Provider Name | Dawn Parnello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376372524 PECOS PAC ID: 6709318686 Enrollment ID: I20241016003503 |
Provider Name | Verlande Dorilas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396526497 PECOS PAC ID: 8921530650 Enrollment ID: I20241018001012 |
Creating Empowerment Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4773 Madrid Ridge Ct, Las Vegas, NV 89129 Phone: 702-656-9890 Fax: 702-656-9152 | |
No Obstacles Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8565 S Eastern Ave, Suite 174, Las Vegas, NV 89123 Phone: 702-462-3082 | |
The Village Behavior Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Mcleod Dr, Suite 4&5, Las Vegas, NV 89120 Phone: 702-437-0341 | |
Journey Community Health Organization Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6512 N Decatur Blvd, Suite 130-114, Las Vegas, NV 89131 Phone: 702-830-2481 Fax: 702-664-0648 |