SHANTAY SARAH COLEMAN (NPI# 1316481203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316481203 |
| Entity Type | Individual |
| Full Name | SHANTAY SARAH COLEMAN |
| Practice Address |
2850 W Horizon Ridge Pkwy Henderson NV 89052 |
| Mailing Address |
2560 W Brooks Ave Ste 115 N Las Vegas NV 89032-3833 |
| Practice Telephone | 7029009853 |
| Practice Fax Number | 7025773399 |
| Mailing Telephone | 7029157074 |
| Mailing Fax Number | 7029157074 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02337-I | NV | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2850 W HORIZON RIDGE PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043471758 | Trang Quynh Nguyen-le | Internal Medicine | 2850 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4395 | 2008-06-24 |
| 1942659966 | Alfred Body II | Rehabilitation Practitioner | 2850 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-4395 | 2016-06-09 |
| 1841647591 | Behavioral Learning Solutions | Behavioral Analyst | 2850 W Horizon Ridge Pkwy, Henderson, NV 89052-4395 | 2016-05-23 |
| 1124484761 | Charlette Jarman | Rehabilitation Practitioner | 2850 W Horizon Ridge Pkwy, Henderson, NV 89052-4395 | 2016-01-12 |
| 1205207479 | Cassandra Body | Rehabilitation Practitioner | 2850 W Horizon Ridge Pkwy, Ste 200, Henderson, NV 89052-4395 | 2015-10-14 |
| 1407275381 | Nkdhc Rudnitsky Pllc | Internal Medicine | 2850 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4395 | 2014-04-08 |
| 1306142625 | Kristina Osborne | Behavioral Analyst | 2850 W Horizon Ridge Pkwy, Henderson, NV 89052-4395 | 2011-02-03 |
| 1619112455 | Qin Fang | Internal Medicine | 2850 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4395 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930949 | James C Stroud | Counselor | 7525 State Highway 64 W, Henderson, TX 75652-9021 | 2020-07-28 |
| 1700428414 | Tawnia M Lindal | Counselor | 525 Engel Ave, Henderson, NV 89011-4355 | 2019-10-14 |
| 1811538317 | Nicole Mcdonagh | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2019-10-05 |
| 1710540729 | James Allan Hagman | Counselor | 401 Hoffman Dr Ste L, Henderson, KY 42420-3390 | 2019-04-16 |
| 1336606342 | Mountain Summits LLC | Counselor | 2520 Saint Rose Pkwy Ste 204, Henderson, NV 89074-7785 | 2019-02-26 |
| 1356810337 | Kevin A Webster | Counselor | 203 S Water St Unit 200, Henderson, NV 89015-7226 | 2018-11-19 |
| 1952890089 | Natalie Dolan | Counselor | 309 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7056 | 2018-05-03 |
| 1528556321 | Lance Everett Sellers | Counselor | 975 Seven Hills Dr Apt 3315, Henderson, NV 89052-4324 | 2018-04-26 |
| 1316440308 | Micah Jovan Smith | Counselor | 2501 N Green Valley Pkwy Ste 116-118, Henderson, NV 89014-0273 | 2018-03-15 |
| 1871091892 | Crenguta Raluca Heim | Counselor | 2050 W Warm Springs Rd Unit 1121, Henderson, NV 89014-5526 | 2018-01-24 |
| Find all providers in HENDERSON | ||||
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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.