HALEY SUZANNE EMERY


Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: 2097472489

HALEY SUZANNE EMERY (NPI# 1063026474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063026474
Entity Type Individual
Full Name HALEY SUZANNE EMERY
Other Name HALEY SUZANNE GONSALVES
Credential PA-C
Practice Address 4700 Las Vegas Blvd N
Nellis Afb
NV 89191-6600
Practice Telephone 2097472489
Mailing Telephone 2097472489
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4700 LAS VEGAS BLVD N
City NELLIS AFB
State NV
Zip Code 89191-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366445389 Frank J Andriola Internal Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2005-05-23
1245837392 Cameron Springer Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-10-01
1033729991 Brock Shaw Dentist 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-08-05
1801404397 Madelyn Danielle Golden Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-07-21
1114544103 Jami Myong Reece Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-25
1225654296 Leah Corr Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-24
1821614405 Aubrey Amanda Blanchette Student in an Organized Health Care Education/Training Program 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-19
1346866290 Shelbi Diane Duncan Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-17
1235751538 Howard Luong Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-05-11
1770112328 Stephanie Danielle Schirding Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225662687 Ashley Raye Roth-garcia Student in an Organized Health Care Education/Training Program 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 2020-02-25
1427553734 Christopher Robert Weisgarber Student in an Organized Health Care Education/Training Program Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 2018-03-28
1912345448 Austin Joseph Ladner Dentist 99th Air Base Wing Public Affairs, Fpo, AA 89191 2013-06-06
1528329018 Mayer M Jeppson Psychologist 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 2012-05-31
1255560462 Jordan Lawrence Military Health Care Provider 1579 Malmstrom Avenue, Nellis Afb, NV 89191 2009-07-09
1225263072 Adrienne L Clark Military Health Care Provider 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 2009-05-22
1568634335 Eleanor C Basilio Registered Nurse 4700 Las Vegas Blvd., Nellis Afb, NV 89191 2008-04-01
1316137037 Sarah Rachel Glick Pediatrics 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 2007-07-30
1619181302 Ben Carter Robinson Orthopaedic Surgery 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 2007-05-10
1609992205 Conrad Lochner IIi, Odpc Optometrist 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 2007-03-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659445971 Kenneth Russell Patterson Physician Assistant 4700 Lv Blvd. N., Nellis Afb, NV 89191-6601 2006-11-20
1225654296 Leah Corr Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-24
1346866290 Shelbi Diane Duncan Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-17
1235751538 Howard Luong Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-05-11
1851931737 Marie Nicole Rossillon Rothstein Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-01-08
1598305401 Alexander William Balok Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-01-08
1518510932 Luke J Bates Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2019-07-24
1093278244 Jonathan D Fonbuena Physician Assistant 4700 Las Vegas Blvd N # 1300, Nellis Afb, NV 89191-6600 2019-04-12
1326516964 Djoanna Marie Boyd Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2018-11-12
1528540069 Lance R Andreasen Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2018-08-31
Find all providers in NELLIS AFB

Competitor

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City NELLIS AFB
Zip Code 89191

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Dataset Information

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.

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