DANETTA KAY POOLE-WATSON (NPI# 1053970988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053970988 |
| Entity Type | Individual |
| Full Name | DANETTA KAY POOLE-WATSON |
| Practice Address |
1105 Serengeti Ct North Las Vegas NV 89032-7668 |
| Mailing Address |
3435 W Craig Rd Ste C North Las Vegas NV 89032-5116 |
| Practice Telephone | 3233772575 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1105 SERENGETI CT |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837584 | Linda Jean Evans | Technician | 955 W Craig Rd Ste 114, North Las Vegas, NV 89032-0284 | 2020-09-29 |
| 1881201234 | Tamara Genean Washington | Technician | 3953 Yellow Mandarin Ave, North Las Vegas, NV 89081-4019 | 2020-09-29 |
| 1356974620 | Cheryl Graves Bradford | Technician | 5816 Radiance Park St, North Las Vegas, NV 89081-5259 | 2020-02-14 |
| 1083252373 | Agnes Nyaguthi | Technician | 3628 Cantabella Ct, North Las Vegas, NV 89032-0827 | 2019-12-17 |
| 1407497241 | Jorge David Oceguera | Technician | 3315 Outlook Point St, North Las Vegas, NV 89032-7984 | 2019-10-02 |
| 1285284356 | Maxine Kimberly Foy | Technician | 5605 Aunkening Street, North Las Vegas, NV 89081-6488 | 2019-09-19 |
| 1457909863 | Regina Tinoco Rosales | Technician | 4744 Petersburg Ln, North Las Vegas, NV 89031-4355 | 2019-08-28 |
| 1194372276 | Deanna Koa | Technician | 1921 Night Shadow Ave, North Las Vegas, NV 89031-1692 | 2019-08-22 |
| 1841845435 | Leonta Faustino Dickson | Technician | 1130 Basin Brook Dr., North Las Vegas, NV 89032 | 2019-08-09 |
| 1285288787 | Vianey Sylvester Winn | Technician | 4217 Fabulous Finches Ave, North Las Vegas, NV 89084-4811 | 2019-08-01 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on DANETTA KAY POOLE-WATSON.
| 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.