JACOB BURTON (NPI# 1245624790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624790 |
| Entity Type | Individual |
| Full Name | JACOB BURTON |
| Practice Address |
9811 W Charleston Blvd # 2-641 Las Vegas NV 89117-7528 |
| Mailing Address |
1544 S Cedar St Casper WY 82601-4141 |
| Practice Telephone | 8558644322 |
| Practice Fax Number | 8883154512 |
| Mailing Telephone | 3072621374 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449917 | Jacob Burton | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology 3601 4th St Ms 8182 1b350b, Lubbock, TX 79430-8182 | 2020-05-27 |
| 1629324918 | Jacob Burton | Optometrist | 301 Burkesville Street, Columbia, KY 42728-1921 | 2012-07-24 |
| Street Address |
9811 W CHARLESTON BLVD # 2-641 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457560898 | Chad Allen | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Blvd #2-641, Las Vegas, NV 89117-7528 | 2007-05-22 |
| 1508405333 | Mark Edward Dunn | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-12-26 |
| 1609412758 | Peter Andrew Schaible | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-25 |
| 1649816141 | Alexandrine Julienne Labban | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1518503010 | Gabrielle Page Frost | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1295371797 | Prentiss Alonzo Lawson Iv | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1972149474 | Chetany Agastya | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1639715139 | Angelea Kuipers | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1588200083 | Taylor Ashley Jones | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| 1528604022 | Cevin William Riley | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442209 | Spencer Kiel Freeman | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2641, Las Vegas, NV 89117-7528 | 2020-09-16 |
| 1548807548 | Core Neuromonitoring, LLC | Specialist/Technologist, Other | 10620 Southern Highlands Pkwy Ste 110-329, Las Vegas, NV 89141-4371 | 2019-12-09 |
| 1639608185 | Austina Yoder | Specialist/Technologist, Other | 9811 W Charleston Blvd Ste 2-641, Las Vegas, NV 89117-7528 | 2017-06-08 |
| 1225585607 | Trainor Health of Nevada Pllc | Specialist/Technologist, Other | 2816 La Casita Ave, Las Vegas, NV 89120-3611 | 2016-09-02 |
| 1932416492 | Neurotrack | Specialist/Technologist, Other | 7264 Larix Rd, Las Vegas, NV 89113-3223 | 2010-09-06 |
| 1023291754 | Rebecca Gillilan | Specialist/Technologist, Other | 4080 N Juliano Rd, Las Vegas, NV 89129-0401 | 2007-12-17 |
| 1457560898 | Chad Allen | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Blvd #2-641, Las Vegas, NV 89117-7528 | 2007-05-22 |
| 1235739020 | Emily Nicole Jonker | Specialist/Technologist, Other | 7455 W Washington Ave Ste 302, Las Vegas, NV 89128-4340 | 2020-10-29 |
| 1508405333 | Mark Edward Dunn | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-12-26 |
| 1609412758 | Peter Andrew Schaible | Specialist/Technologist, Other | 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 | 2019-11-25 |
| 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.