JESSICA RAE BLACKWELL (NPI# 1215304514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215304514 |
| Entity Type | Individual |
| Full Name | JESSICA RAE BLACKWELL |
| Credential | RKT |
| Practice Address |
6900 Pecos Rd North Las Vegas NV 89086-4400 |
| Practice Telephone | 7027919000 |
| Mailing Telephone | 7027919000 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759329 | Jessica Blackwell | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-06 |
| 1902859895 | Jessica A. Blackwell | Nurse Practitioner | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2006-05-19 |
| Street Address |
6900 PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718991 | Meeta Patel | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2005-05-24 |
| 1437677556 | Seung Ki Min | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-08 |
| 1518485077 | Megan Elizabeth Theuerkauf | Specialist/Technologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-05 |
| 1407374309 | Alicia Blenkush | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-31 |
| 1407372576 | Rachal Brown | Audiologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1447776505 | Lindsey Rae Fadely | Registered Nurse | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1114442977 | Douglas James Deak | Occupational Therapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-13 |
| 1205351327 | Sarah A Yao | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-09 |
| 1265957559 | Martin Alvarez | Social Worker | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-08 |
| 1285158725 | Michelle L Crawford | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-07-26 |
| 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 | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225570112 | Daniel David Vanta | Kinesiotherapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2016-11-09 |
| 1376985176 | Marlo Ashley Ann Hankins | Kinesiotherapist | 6900 North Pecos Road, North Las Vegas, VA 89086-4400 | 2013-07-22 |
| 1205278256 | Charity Beatrice Sonza Cervantes | Kinesiotherapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2013-07-18 |
| 1477800118 | Alejandro Ramos | Kinesiotherapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2012-08-13 |
| 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.