KYLE JOHNSON (NPI# 1326480229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326480229 |
| Entity Type | Individual |
| Full Name | KYLE JOHNSON |
| Credential | PA-C |
| Practice Address |
2212 S Eastern Ave Las Vegas NV 89104-4124 |
| Mailing Address |
3325 Research Way Carson City NV 89706-7913 |
| Practice Telephone | 7027359334 |
| Practice Fax Number | 7027359335 |
| Mailing Telephone | 7758886610 |
| Mailing Fax Number | 7758884904 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1444 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | SMA MEDICARE | V111642 | 01 |
| NV | NV PA LICENSE | PA1444 | 01 |
| NV | 1326480229 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690066 | Kyle Johnson | Case Manager/Care Coordinator | 1809 Brighton Ave, Oklahoma City, OK 73120-1111 | 2019-03-26 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1518492784 | Kyle Ann Johnson | Counselor | 25 S Ewing St Ste 511, Helena, MT 59601-5732 | 2017-04-25 |
| 1801320577 | Kyle Johnson | Pharmacist | 2198 6th Ave, Cadillac, MI 49601-8896 | 2017-04-19 |
| 1588014021 | Kyle Johnson | Dental Hygienist | 1109 S Park St Ste 504, Carrollton, GA 30117-4449 | 2016-06-15 |
| 1730307570 | Kyle E. Johnson | Psychiatry & Neurology | 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | 2007-04-24 |
| 1699785410 | Kyle Dale Johnson | Optometrist | 1104 E Ohio St, Clinton, MO 64735-2458 | 2006-08-08 |
| 1366042855 | Kyle Johnson | Pharmacist | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2020-10-26 |
| 1083226559 | Kyle Johnson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-17 |
| 1477162071 | Kyle Douglas Johnson | Dentist | 5800 Coit Rd Ste 700, Plano, TX 75023-5946 | 2020-07-29 |
| Street Address |
2212 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326069634 | Jerrold P Cansdale | Dentist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2006-07-21 |
| 1942825898 | Michelle Renee Scheitzach | Dental Hygienist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2020-06-16 |
| 1033758669 | Susan Aileen Davis | Dental Hygienist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2019-12-30 |
| 1609427947 | John Fife | Dentist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2019-09-27 |
| 1710444351 | David Lee Fleming | Physician Assistant | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2019-03-01 |
| 1104332592 | Alicia Digiacomo | Dental Hygienist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2017-12-20 |
| 1417405911 | Alexandrea Wabara | Dentist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2016-09-14 |
| 1750733549 | Chantelle Chand | Internal Medicine | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2016-07-06 |
| 1821463282 | Heather Marie Felkins | Dental Hygienist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2015-12-09 |
| 1538547922 | Claire Choate | Dental Hygienist | 2212 S Eastern Ave, Las Vegas, NV 89104-4124 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| 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.