KATHLEEN DEAUNDRA LEWIS (NPI# 1063916161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063916161 |
| Entity Type | Individual |
| Full Name | KATHLEEN DEAUNDRA LEWIS |
| Practice Address |
820 Rancho Ln Ste 25 Las Vegas NV 89106-3806 |
| Practice Telephone | 7028222655 |
| Mailing Telephone | 7028222655 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | IDENTIFICATION CARD | 2101569652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427541960 | Kathleen Lewis | Counselor | 298 Glorietta Blvd, Orinda, CA 94563-3253 | 2018-06-09 |
| 1700296282 | Kathleen Eva Lewis | Physical Therapist | 1824 Coronado Ave., Youngstown, OH 44504-1307 | 2014-05-06 |
| 1013024157 | Kathleen Claire Lewis | Family Medicine | 1701 Four Mile Dr, Williamsport, PA 17701-1940 | 2006-08-24 |
| 1194726125 | Kathleen Elizabeth Lewis | Family Medicine | 1302 E Main St, Endicott, NY 13760-5430 | 2005-08-01 |
| 1053963611 | Kathleen Lewis | Nurse Practitioner | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2019-07-14 |
| 1073039954 | Kathleen Lewis | Dietitian, Registered | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2017-08-22 |
| 1215054515 | Kathleen Lewis | Chiropractor | 12114 Venice Blvd, Los Angeles, CA 90066-3812 | 2007-03-23 |
| 1790822385 | Kathleen Lewis | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2007-01-31 |
| 1265506133 | Kathleen W Lewis | Pediatrics | 3850 California St, San Francisco, CA 94118-1502 | 2006-11-20 |
| 1477643559 | Kathleen Phyllis Lewis | Registered Nurse | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-10-13 |
| Street Address |
820 RANCHO LN STE 25 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649523374 | Am/pm Personal Care LLC | Health Maintenance Organization | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2012-10-18 |
| 1316553407 | Am-pm Personal Care LLC | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-09-23 |
| 1558976563 | Elvin Cruz | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-09-15 |
| 1912516782 | Duron Trevell James | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-07-28 |
| 1619595139 | Nikatta Fuzee | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-07-10 |
| 1861019192 | Elizabeth Terrones | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-07-02 |
| 1255958963 | Katina Tyler | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-06-29 |
| 1659995272 | Kioya Woods | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-05-29 |
| 1528690823 | Andrea Paredes | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-02-05 |
| 1306477047 | Franklin Olivas | Technician | 820 Rancho Ln Ste 25, Las Vegas, NV 89106-3806 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.