PHILIP BRENT HALE (NPI# 1164032306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164032306 |
| Entity Type | Individual |
| Full Name | PHILIP BRENT HALE |
| Practice Address |
6900 N Pecos Rd North Las Vegas NV 89086-4400 |
| Mailing Address |
7125 Wonderberry St Las Vegas NV 89131-8143 |
| Practice Telephone | 7027919000 |
| Mailing Telephone | 3105709953 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN96190 | NV | Nursing Service Providers |
| Street Address |
6900 N PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424357 | Gail Oblea Manzano-cabrera | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-10 |
| 1447857271 | Ashley Rose Taylor | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-05 |
| 1538766506 | Eugene Olaiya | Psychologist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-02 |
| 1568077428 | Chelsie Rae Lawter | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-08 |
| 1558975276 | Casey Matthew Tiefenthaler | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-09-01 |
| 1205449501 | Katrina Pham | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-26 |
| 1336750736 | Jamie Gail Lewis | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-11 |
| 1629687587 | Taylor Hori | Pharmacist | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-27 |
| 1285242925 | Melissa Han | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-20 |
| 1144838772 | Kayla Cristoferi | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424357 | Gail Oblea Manzano-cabrera | Registered Nurse | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384246 | Paul Martin T Guerrero IIi | Registered Nurse | 5505 Dunshee Vista Ave, Las Vegas, NV 89131-2026 | 2020-10-25 |
| 1477165595 | Olusegun S Bello | Registered Nurse | 4350 S Hualapai Way Unit 1242, Las Vegas, NV 89147-8574 | 2020-08-19 |
| 1659991578 | John Glenn Mclachlan | Registered Nurse | 764 Fairway Dr, Boulder City, NV 89005-3429 | 2020-04-21 |
| 1770967630 | Jeartha Joy Caballero | Registered Nurse | 7028 Laramie Ave, Las Vegas, NV 89113-3004 | 2015-07-10 |
| 1508243296 | Michael Fry | Registered Nurse | 1555 Sky Valley Dr Apt U201, Reno, NV 89523-8194 | 2015-05-01 |
| 1881082733 | Raymond Estrada Jr. | Registered Nurse | 4370 S Grand Canyon Dr Apt 1115, Las Vegas, NV 89147-7115 | 2014-12-30 |
| 1689062697 | Juan Carlos Gonzalez | Registered Nurse | 2385 Lawry Dr, Sparks, NV 89436-5004 | 2014-12-27 |
| 1356645345 | Jennifer Mcinnes | Registered Nurse | 6424 Bluff Dwellers Ave, Las Vegas, NV 89131-3027 | 2011-01-05 |
| 1255930152 | Davrin Davis | Registered Nurse | 6900 N Durango Dr, Las Vegas, NV 89149-4409 | 2020-10-21 |
| 1790397131 | Lauren Kristen Traver | Registered Nurse | 5400 S Rainbow Blvd, Las Vegas, NV 89118-1859 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
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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.