RAE-LYNN GIDDENS (NPI# 1114577418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114577418 |
| Entity Type | Individual |
| Full Name | RAE-LYNN GIDDENS |
| Practice Address |
98 E Lake Mead Pkwy Ste 306 Henderson NV 89015-6444 |
| Practice Telephone | 7024333038 |
| Mailing Telephone | 7024333038 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
98 E LAKE MEAD PKWY STE 306 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1750980710 | Parisa Afghani | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-10-21 |
| 1356940605 | Emmerson Vivier | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-10-19 |
| 1518566843 | David Murphy | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-10-19 |
| 1346848066 | Maggie Sandquist | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-10-14 |
| 1609489996 | Nichole Cooper | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-08-26 |
| 1922617372 | Erica Williams | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-07-30 |
| 1245865542 | Laurie Jorgensen | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-03-06 |
| 1184259780 | Jadelynn Hogan | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-03-04 |
| 1700417078 | Iris Rodriguez | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
| 1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
| 1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
| 1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
| 1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
| 1891345526 | Blake Anthony Spataro | Rehabilitation Practitioner | 1925 Davina St, Henderson, NV 89074-1034 | 2019-09-15 |
| 1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
| 1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
| Find all providers in HENDERSON | ||||
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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.