MRS. JASMINA SANTOS FORNBACHER (NPI# 1164901245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164901245 |
Entity Type | Individual |
Full Name | MRS. JASMINA SANTOS FORNBACHER |
Credential | APRN |
Practice Address |
7325 S Pecos Rd Ste 102 Las Vegas NV 89120-3768 |
Practice Telephone | 7029826402 |
Practice Fax Number | 7022020674 |
Mailing Telephone | 7029826402 |
Mailing Fax Number | 7022020674 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2019-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
812066 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7325 S PECOS RD STE 102 |
City | LAS VEGAS |
State | NV |
Zip Code | 89120-3768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
Find all providers in zip 89120 |
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 |
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 |
1114270899 | Karissa Tan | Nurse Practitioner | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 | 2012-10-18 |
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.