LEEANNA BRISTOL (NPI# 1205127479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205127479 |
| Entity Type | Individual |
| Full Name | LEEANNA BRISTOL |
| Credential | APN |
| Practice Address |
2874 N Carson Street Suite 200 Carson City NV 89706-1682 |
| Practice Telephone | 7758839003 |
| Practice Fax Number | 7758830959 |
| Mailing Telephone | 7754457291 |
| Mailing Fax Number | 7758883230 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN001239 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | APN LICENSE | APN001239 | 01 |
| Street Address |
2874 N CARSON STREET SUITE 200 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89706-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407555 | Melissa Anne Cates Gerdes | Physical Therapist | 2874 N Carson Street, Suite 130, Carson City, NV 89703 | 2006-08-22 |
| 1023265717 | Carson Tahoe Physician Clinics | Internal Medicine | 2874 N Carson Street, Suite 200, Carson City, NV 89706-1682 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795741 | Vera Whole Health, Wa PC | Clinic/Center | 190 E. Winnie Lane, Carson City, NV 89706 | 2018-10-10 |
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1649583691 | Tamara June Nance | Marriage & Family Therapist | 1047 Mark Way, Carson City, NV 89706 | 2010-07-20 |
| 1992926646 | Jack Richard Araza | Psychologist | 309 East John St. Ste #1, Carson City, NV 89706 | 2007-05-01 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1528132065 | Raymond B Graber II | Dentist | 2600 E College Parkway H23, Carson City, NV 89706 | 2006-11-17 |
| 1619511268 | Lindsey Michele Benedict | Pharmacist | 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 | 2019-11-06 |
| 1598279648 | Michelle Rae Tye | Behavior Technician | 3416 Goni Rd Ste D132, Carson City, NV 89706 | 2017-11-28 |
| 1952720203 | Nalini Channapatna Prasanna | Social Worker | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 | 2014-04-15 |
| 1851646657 | Farres Nitam Uddin Ahmed | Radiology | 2874 N Carson St Ste 300, Carson City, NV 89706 | 2012-07-17 |
| Find all providers in zip 89706 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720347719 | Linda Mae Bundy | Nurse Practitioner | 2874 N Carson St Ste 200, Carson City, NV 89706-1682 | 2012-05-10 |
| 1093804213 | Carla Rae Farnworth | Nurse Practitioner | 300 Cambridge Ct, Carson City, NV 89701-7675 | 2006-10-12 |
| 1821619727 | Danielle Dyan Burian | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1467776435 | Michael Christopher Marinaccio | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2010-03-19 |
| 1699967745 | Jennifer Lynn Oneill | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002907 | Faith Iseh | Nurse Practitioner | 10470 W Cheyenne Ave Ste 115 Pmb 311, Las Vegas, NV 89129-8733 | 2020-10-29 |
| 1861009664 | Gregory Lawrence Walker II | Nurse Practitioner | 7600 S Rainbow Blvd Apt 2044, Las Vegas, NV 89139-5493 | 2020-09-25 |
| 1427682061 | Sarah C Day | Nurse Practitioner | 11024 Salernes St, Las Vegas, NV 89141-3811 | 2020-02-22 |
| 1265082895 | Sofia Gates | Nurse Practitioner | 7346 Emerald Glow St, Las Vegas, NV 89123-1303 | 2019-09-16 |
| 1619448289 | Wayne Seare | Nurse Practitioner | 275 Calvino Ave, Las Vegas, NV 89183-5602 | 2018-12-07 |
| 1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
| 1669968681 | Jasmine Jac LLC | Nurse Practitioner | 169 Short Ruff Way, Las Vegas, NV 89148-5259 | 2018-07-02 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1851805295 | Elise Noelle Sterritt | Nurse Practitioner | 142 Willow Glen Ct, Henderson, NV 89074-0659 | 2017-11-21 |
| 1598203978 | Kazakk LLC | Nurse Practitioner | 7866 W Sahara Ave, Las Vegas, NV 89117-1944 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89706 |
Please comment or provide details below to improve the information on LEEANNA BRISTOL.
| 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.