KARISSA TAN (NPI# 1114270899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114270899 |
| Entity Type | Individual |
| Full Name | KARISSA TAN |
| Credential | APN-BC |
| Practice Address |
4750 W Oakey Blvd Ste 2b Las Vegas NV 89102-1535 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7027248787 |
| Practice Fax Number | 7028783078 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN002657 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
306242 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4750 W OAKEY BLVD STE 2B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447660097 | Karen Eileen Nelson | Orthopaedic Surgery | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 | 2014-05-05 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649468 | Mary Denisse Toribio | Nurse Practitioner | 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 | 2020-11-05 |
| 1407315344 | Delfina Simpson | Nurse Practitioner | 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 | 2019-03-19 |
| 1801362942 | Mary Ann Lorenzo Enriquez | Nurse Practitioner | 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 | 2018-10-16 |
| 1164901245 | Jasmina Santos Fornbacher | Nurse Practitioner | 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 | 2018-08-09 |
| 1275037517 | Mary Manoharan | Nurse Practitioner | 1240 N Mlk Blvd, Las Vegas, NV 89106-2825 | 2018-03-21 |
| 1487192308 | Hannah Harris-austin | Nurse Practitioner | 494 Redruth Dr, Las Vegas, NV 89178-1244 | 2017-02-11 |
| 1275908444 | Theophilus Mbi Akoh | Nurse Practitioner | 2831 Business Park Ct Ste 110, Las Vegas, NV 89128-9000 | 2015-12-14 |
| 1245625284 | Diversified Health Care Services LLC | Nurse Practitioner | 4550 W Oakey Blvd Ste 111-n, Las Vegas, NV 89102-1581 | 2015-04-06 |
| 1053690362 | Yamilka Castillo Gongora | Nurse Practitioner | 4275 Burnham Ave Ste 210, Las Vegas, NV 89119-5400 | 2011-08-04 |
| 1740584234 | Boja M Lemich | Nurse Practitioner | 6773 W Charleston Blvd, Las Vegas, NV 89146 | 2010-12-27 |
| 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.