MS. MELISSA LYNN GARDNER (NPI# 1336568641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336568641 |
Entity Type | Individual |
Full Name | MS. MELISSA LYNN GARDNER |
Practice Address |
3925 N Martin Luther King #212 Las Vegas NV 89032-7673 |
Mailing Address |
3925 N Martin Luther King #212 North Las Vegas NV 89032-7673 |
Practice Telephone | 7024611982 |
Mailing Telephone | 7024611982 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2019-08-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C1672 | NV | Behavioral Health & Social Service Providers |
N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1336568641 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2020 Pinto Ln, Las Vegas, NV 891064019 | 7028163658 | 7028164337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942773031 | Melissa Gardner | Social Worker | 5550 High Point Ct, Parma, OH 44134-2041 | 2019-01-10 |
1033652987 | Melissa Gardner | Nurse Practitioner | 59 Meridian St, East Boston, MA 02128-1959 | 2016-11-27 |
1871845743 | Melissa Gardner | Student in an Organized Health Care Education/Training Program | 82 Tomahawk Trl, Henrietta, NY 14467-9542 | 2012-10-02 |
1376554147 | Melissa Deann Gardner | Optometrist | 5744 Antioch Rd, Merriam, KS 66202-2015 | 2006-08-10 |
1245848712 | Melissa M Gardner | Student in an Organized Health Care Education/Training Program | 1 Bowdoin Sq Fl 7, Boston, MA 02114-2927 | 2020-07-21 |
1144853128 | Melissa Gardner | Occupational Therapist | 1600 Grand Lake Dr, Conroe, TX 77304-2834 | 2020-02-18 |
1740772714 | Melissa Eileen Gardner | Social Worker | 2649 Sw Arrowhead Rd, Topeka, KS 66614-2458 | 2018-06-05 |
1639685316 | Melissa Gardner | Behavior Technician | 415 Medical Dr, Bountiful, UT 84010-4946 | 2017-12-18 |
1457870495 | Melissa D Gardner | Physical Therapy Assistant | 608 N Mulberry Rd, Derby, KS 67037-3532 | 2017-09-11 |
1265980718 | Melissa Blair Gardner | Occupational Therapy Assistant | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2016-09-13 |
Street Address |
3925 N MARTIN LUTHER KING #212 |
City | LAS VEGAS |
State | NV |
Zip Code | 89032-7673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
Find all providers in zip 89032 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497839 | Joseph Javier | Counselor | 526 S Tonopah Dr Ste 140, Las Vegas, NV 89106-4044 | 2020-11-05 |
1881206605 | Healing and Wholeness | Counselor | 9634 Hawk Cliff Ave, Las Vegas, NV 89148-4716 | 2020-08-21 |
1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
1700408978 | New Perspectives Behavioral Health LLC | Counselor | 725 Jacobs Ladder Pl, Las Vegas, NV 89138-7540 | 2020-05-11 |
1265075139 | Dennis Patrick Smith | Counselor | 2225 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5126 | 2019-10-23 |
1083268577 | Taylor D Bull | Counselor | 7251 Vireo Dr, Las Vegas, NV 89147-4645 | 2019-08-01 |
1801351440 | Kathleen Marie Davis | Counselor | 2574 Olay St, Las Vegas, NV 89142-2801 | 2019-02-07 |
1770048613 | Natalie King | Counselor | 7260 Las Vegas Blvd S # 210, Las Vegas, NV 89119-4020 | 2019-02-05 |
1699257402 | Beth Asaf | Counselor | 2309 Renaissance Dr Ste B, Las Vegas, NV 89119-6160 | 2018-08-29 |
1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
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.