TYLER STUCKEY (NPI# 1285129908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285129908 |
| Entity Type | Individual |
| Full Name | TYLER STUCKEY |
| Practice Address |
3955 Keasberry Ave North Las Vegas NV 89081-6692 |
| Mailing Address |
3920 W Ann Rd Ste 100 North Las Vegas NV 89031-3840 |
| Practice Telephone | 7026846137 |
| Practice Fax Number | 7025504872 |
| Mailing Telephone | 7025506700 |
| Mailing Fax Number | 7025504872 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811935661 | Tyler J. Stuckey | Physician Assistant | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-06-03 |
| Street Address |
3955 KEASBERRY AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1912426909 | Olive Branch Mentoring | Community/Behavioral Health | 5548 Ayers Cliff Street, North Las Vegas, NV 89081 | 2017-09-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| Find all providers in zip 89081 | ||||
| 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 |
|---|---|---|---|---|
| 1891314084 | Devin Michael Thrower | Rehabilitation Practitioner | 6616 Night Owl Bluff Ave, North Las Vegas, NV 89084-2027 | 2020-04-08 |
| 1790329175 | Martin Solomon Katz | Rehabilitation Practitioner | 3004 Pumpkin Harvest Ave, North Las Vegas, NV 89031-0393 | 2019-10-29 |
| 1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
| 1932661774 | Kiara R Savannah | Rehabilitation Practitioner | 2604 Campobello Ave, North Las Vegas, NV 89081-2423 | 2019-04-02 |
| 1174093538 | Francesca Nicole Tan Mangisel | Rehabilitation Practitioner | 3131 W Craig Rd Ste 108, North Las Vegas, NV 89032-0780 | 2018-11-28 |
| 1295213775 | Sheila O'neal | Rehabilitation Practitioner | 5135 Camino Al Norte # 115, North Las Vegas, NV 89031-2387 | 2018-08-06 |
| 1043705742 | Napoleon Stuckey | Rehabilitation Practitioner | 3924 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-06-25 |
| 1528553237 | Sean Reeder | Rehabilitation Practitioner | 4033 Grant Hill Ave, North Las Vegas, NV 89081-6648 | 2018-06-25 |
| 1467947457 | Karina Marie Flores | Rehabilitation Practitioner | 4349 Sharpshooter Ln, North Las Vegas, NV 89031-2197 | 2018-06-22 |
| 1487149472 | Courtney Noel Anderson | Rehabilitation Practitioner | 5048 Jimmy Buffet St, North Las Vegas, NV 89031-0993 | 2018-06-22 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on TYLER STUCKEY.
| 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.