KEONA JEWEL TILLMON (NPI# 1003476383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003476383 |
| Entity Type | Individual |
| Full Name | KEONA JEWEL TILLMON |
| Practice Address |
3920 W Charleston Blvd Ste O Las Vegas NV 89102-1633 |
| Practice Telephone | 7027845541 |
| Practice Fax Number | 7029157664 |
| Mailing Telephone | 7027845541 |
| Mailing Fax Number | 7029157664 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3920 W CHARLESTON BLVD STE O |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952507832 | Gordana Brabson | Marriage & Family Therapist | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2007-06-26 |
| 1447809124 | Alagacare,llc | Clinic/Center | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-09-05 |
| 1043866833 | Roseline Agbetorwoka | Registered Nurse | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-08-16 |
| 1760037139 | Galinda Jean Mefford | Home Health Aide | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-08-02 |
| 1174178552 | Steven Niel Treat | Home Health Aide | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-08-02 |
| 1366908873 | Dominique Brisco | Home Health Aide | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-02-20 |
| 1306300579 | Alagacare,llc | Counselor | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2019-01-22 |
| 1326513128 | Patience Rose Harmon | Home Health Aide | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2018-10-08 |
| 1508340688 | Rosalind Baker | Home Health Aide | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2018-09-24 |
| 1881177012 | Lisa Yavette Lowery | Counselor | 3920 W Charleston Blvd Ste O, Las Vegas, NV 89102-1633 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195735 | Adriana Delgado | Technician, Other | 2261 Roan Ave, Las Vegas, NV 89119-2840 | 2019-07-15 |
| 1689145732 | Angela M Johnson | Technician, Other | 2820 E Flamingo Rd Ste C, Las Vegas, NV 89121-5212 | 2018-12-16 |
| 1558846444 | Marqui Miles | Technician, Other | 6661 Silverstream Ave Apt 2077, Las Vegas, NV 89107-1173 | 2018-09-26 |
| 1528589298 | Jannet A Corless | Technician, Other | 8275 S Eastern Ave Ste 200-110, Las Vegas, NV 89123-2591 | 2017-07-03 |
| 1053845719 | Cavawntay Alexander | Technician, Other | 215 E Warm Springs Rd Ste 103, Las Vegas, NV 89119-4248 | 2017-04-19 |
| 1275065773 | Mariella Ilkiaeiv | Technician, Other | 10115 Jeffreys St, Apt 2019, Las Vegas, NV 89183-7901 | 2017-04-03 |
| 1235682824 | Kimberly Dawn Manzano Doctolero | Technician, Other | 8866 Dramatic Gold Ave, Las Vegas, NV 89178-6561 | 2016-07-29 |
| 1134570195 | Kayla B Carr | Technician, Other | 616 Doletto St, Las Vegas, NV 89138-7517 | 2016-06-30 |
| 1396105052 | Danyer Sanchez Pompa | Technician, Other | 4337 Silver Dollar Ave Apt 2, Las Vegas, NV 89102-7417 | 2016-02-24 |
| 1316314529 | Ernesto Rodriguez | Technician, Other | 5143 Titanium Ct, Las Vegas, NV 89120-1644 | 2015-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.