SAMANTHA RYCKEBOSCH (NPI# 1225411648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225411648 |
| Entity Type | Individual |
| Full Name | SAMANTHA RYCKEBOSCH |
| Practice Address |
425 Camino De Grato Sparks NV 89441-7536 |
| Practice Telephone | 7758484302 |
| Mailing Telephone | 7758484302 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 14 | 05 |
| Street Address |
425 CAMINO DE GRATO |
| City | SPARKS |
| State | NV |
| Zip Code | 89441-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734261 | Erica Jean Hopkins | Behavioral Analyst | 2395 Contrail St, Sparks, NV 89441 | 2015-06-30 |
| 1063779221 | Daniel James Bouzek | Pharmacist | 9705 Pyramid Way, Sparks, NV 89441 | 2012-04-12 |
| 1861777906 | Kathleen Edwards | Registered Nurse | 10350 Palm Springs Dr, Sparks, NV 89441-0524 | 2011-10-20 |
| 1538418074 | Erica Johnetta Spaight | Behavioral Analyst | 1283 Haistar Trail, Sparks, NV 89441-3004 | 2012-08-30 |
| 1962831776 | Bryn Martin | Speech-Language Pathologist | 2445 Mammatus Dr, Sparks, NV 89441-4806 | 2013-11-02 |
| 1407015829 | Krystal Leann Urrutia | Specialist/Technologist, Other | 1237 Hallertau Dr, Sparks, NV 89441-4835 | 2008-06-02 |
| 1477108496 | Urrutia Surgical Assisting, LLC | Specialist/Technologist, Other | 1237 Hallertau Dr, Sparks, NV 89441-4835 | 2019-08-06 |
| 1750811667 | Ryan Simpson | Counselor | 2265 Lenticular Dr, Sparks, NV 89441-4859 | 2017-06-13 |
| 1396281044 | Josephine Aguilar | Respite Care | 12260 Ocean View Dr, Sparks, NV 89441-5577 | 2017-01-18 |
| 1306310180 | Hand In Hand Health Care Services | Respite Care | 12260 Ocean View Dr, Sparks, NV 89441-5577 | 2019-01-15 |
| Find all providers in zip 89441 | ||||
| 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 |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1194359000 | Jamie Ann Perrigue | Rehabilitation Practitioner | 989 Rook Way, Sparks, NV 89441-8897 | 2020-02-29 |
| 1447641980 | Andrea Delfina Gonzales | Rehabilitation Practitioner | 2105 Capurro Way Ste 260, Sparks, NV 89431-8586 | 2015-02-05 |
| 1497166037 | Monika V Webb | Rehabilitation Practitioner | 7815 Bermeso Ct, Sparks, NV 89436-6222 | 2014-05-16 |
| 1366861932 | Whitney Genseal | Rehabilitation Practitioner | 5200 S Los Altos Pkwy Apt 98, Sparks, NV 89436-7684 | 2014-04-10 |
| 1073948907 | Robert Murray Collins Jr. | Rehabilitation Practitioner | 491 S Sand Crane Cir, Sparks, NV 89436-1664 | 2013-09-11 |
| 1760828289 | Jennifer Schultz | Rehabilitation Practitioner | 2310 Dodge Dr, Sparks, NV 89436-5023 | 2013-05-13 |
| 1528339504 | Kailey Kim Suh | Rehabilitation Practitioner | 350 Harbour Cove Dr Apt 245, Sparks, NV 89434-7869 | 2012-01-23 |
| 1578831590 | Rebecca Louise Elquist | Rehabilitation Practitioner | 1721 Meadowvale Way, Sparks, NV 89431-2947 | 2011-12-05 |
| 1568746154 | Michael Joseph Smith | Rehabilitation Practitioner | 836 Vivian Dr, Sparks, NV 89436-0662 | 2011-10-01 |
| Find all providers in SPARKS | ||||
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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.