MACEY DODD


Address: 10620 Southern Highlands Pkwy Ste 110-155, Las Vegas, NV 89141-4371
Phone: 7027545421

MACEY DODD (NPI# 1275199820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275199820
Entity Type Individual
Full Name MACEY DODD
Credential APRN
Practice Address 10620 Southern Highlands Pkwy Ste 110-155
Las Vegas
NV 89141-4371
Mailing Address 9344 Pink Stargazer Ave
Las Vegas
NV 89166-3785
Practice Telephone 7027545421
Practice Fax Number 7753122857
Mailing Telephone 7028086359
Enumeration Date 2019-05-18
Last Update Date 2019-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F05190039 NV Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1830 E Sahara Ave Ste 201, Las Vegas, NV 891043739 7029791111 7029796288

Office Location

Street Address 10620 SOUTHERN HIGHLANDS PKWY STE 110-155
City LAS VEGAS
State NV
Zip Code 89141-4371

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1376030056 Anne Florence Valdez Optometrist 5407 Ledgewood Creek Ave, Las Vegas, NV 89141 2018-04-18
1700301900 Erica Michelle Capehart Student in an Organized Health Care Education/Training Program 5564 Valensole Avenue, Las Vegas, NV 89141 2017-08-08
1912429044 Candace A Harris Community Health Worker 108186 Valencia Hills Street, Las Vegas, NV 89141 2017-07-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City LAS VEGAS
Zip Code 89141

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Dataset Information

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.

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