MS. KENDRA C STAFLIN (NPI# 1265946743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265946743 |
| Entity Type | Individual |
| Full Name | MS. KENDRA C STAFLIN |
| Credential | PA-S |
| Practice Address |
4700 Las Vegas Blvd N Bldg 1300 Las Vegas NV 89191-6600 |
| Mailing Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600 |
| Practice Telephone | 7026532273 |
| Mailing Telephone | 7026532532 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4700 LAS VEGAS BLVD N BLDG 1300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643749 | Danielle Dawn Acacio | Family Medicine | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2020-03-04 |
| 1528604758 | Nicholas Brown Dyches | Military Health Care Provider | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2019-11-22 |
| 1831686369 | Laurie Meagan Wallace | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2018-04-19 |
| 1598262339 | Adam Michael Biwer | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2018-04-09 |
| 1154598910 | Nanci A Quinn | Registered Nurse | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2008-05-12 |
| 1639139090 | Jennifer Vecchione | Physical Therapist | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2006-03-27 |
| 1679550057 | Richard A Leff | Internal Medicine | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, Nv 89191-6601, Las Vegas, NV 89191-6600 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1588200521 | Kimberly Hunt | Physician Assistant | 2250 E Flamingo Rd Ste 100, Las Vegas, NV 89119-5170 | 2019-11-25 |
| 1104461433 | Jacqueline Emilia Lindine | Physician Assistant | 7720 W Sahara Ave Ste 103, Las Vegas, NV 89117-2754 | 2019-11-11 |
| 1255973285 | Kirstey Langston | Physician Assistant | 4475 S Eastern Ave Ste 1500, Las Vegas, NV 89119-7826 | 2019-10-10 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1548825094 | Victoria Ashlyn James Hinton | Physician Assistant | 5775 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-5627 | 2019-05-09 |
| 1275007205 | Kathy Ann Tran | Physician Assistant | 401 N Buffalo Dr Ste 200, Las Vegas, NV 89145-0397 | 2019-01-12 |
| 1144717067 | Lynne Barbara Ulevich | Physician Assistant | 9310 S Eastern Ave Ste 122, Las Vegas, NV 89123-6844 | 2018-04-16 |
| 1104326727 | Amanda Howe Parker Bartlett | Physician Assistant | 7170 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-3208 | 2018-02-20 |
| 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.