SAMANTHA MARIE HENDERSON


Address: 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456
Phone: 7025769608

SAMANTHA MARIE HENDERSON (NPI# 1336575976) 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) 1336575976
Entity Type Individual
Full Name SAMANTHA MARIE HENDERSON
Credential APN
Practice Address 8670 W Cheyenne Ave
Suite 120
Las Vegas
NV 89129-7456
Mailing Address 3504 N Tenaya Way
Las Vegas
NV 89129-6258
Practice Telephone 7025769608
Mailing Telephone 9712753572
Enumeration Date 2013-09-15
Last Update Date 2013-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN001570 NV Physician Assistants & Advanced Practice Nursing Providers

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1992259766 Samantha Henderson Counselor 713 Cheatham St, Springfield, TN 37172-2828 2016-08-10
1023418142 Samantha L Henderson Occupational Therapy Assistant 3057 Cleveland Ave Sw, Canton, OH 44707-3625 2014-08-26

Office Location

Street Address 8670 W CHEYENNE AVE
SUITE 120
City LAS VEGAS
State NV
Zip Code 89129-7456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568412153 Diana Grace Tolentino Dentist 8670 W Cheyenne Ave, Suite 150, Las Vegas, NV 89129-7456 2006-05-12
1821444662 Bliss Home Health Care LLC Home Health 8670 W Cheyenne Ave, Suite 200, Las Vegas, NV 89129-7456 2016-05-11
1699137125 Attention To Care In Home Supportive Care 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456 2016-03-23
1275992596 Ztoa Lactation Advising, LLC Lactation Consultant, Non-RN 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456 2016-02-15
1841664281 Southwest Medical Associats, Inc Clinic/Center 8670 W Cheyenne Ave, Suite 105, Las Vegas, NV 89129-7456 2015-11-23
1629499496 Brianna Leigh Martin Rehabilitation Practitioner 8670 W Cheyenne Ave, Ste 120, Las Vegas, NV 89129-7456 2013-12-21
1275964504 Craig Allen Rodriguez Physician Assistant 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456 2013-12-12
1366876450 Laraine Esquivel Nurse Practitioner 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456 2013-08-26
1285067629 Mary Jo Stortz Nurse Practitioner 8670 W Cheyenne Ave, #120, Las Vegas, NV 89129-7456 2013-08-20
1184068173 Wrangell Melendres Behavioral Analyst 8670 W Cheyenne Ave, Suite 120, Las Vegas, NV 89129-7456 2013-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699387621 Voice Specialist LLC Speech-Language Pathologist 3701 Paul Deweert Ct, Las Vegas, NV 89129 2020-08-20
1215563358 Aba Homecare LLC In Home Supportive Care 4456 N Prospect Hill Ct, Las Vegas, NV 89129 2020-03-20
1568935534 Las Vegas Family Medicine Inc. Family Medicine 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 2019-01-02
1477040798 Cynthia Beverly Springer Technician 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 2018-04-23
1518471093 3 Pharmacy LLC Pharmacy 3350 Novat St Ste 110, Las Vegas, NV 89129 2017-11-20
1497207393 Morgan A Lavergne Behavioral Analyst 7650 Siesta Grande Ave., Las Vegas, NV 89129 2016-10-27
1255880191 Sierra Treatment and Recovery Services, LLC Clinic/Center 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 2016-10-03
1710433545 Tyson Miller Dentist 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 2016-08-31
1427450923 Jerale Tiffith Behavioral Analyst 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 2014-09-16
1134463821 Paul Carr Behavioral Analyst 4460 Park Ave, Las Vegas, NV 89129 2012-11-19
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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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1891396651 Alma F Talavera Nurse Practitioner 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 2020-11-06
1154922300 Reynaly Campos Nurse Practitioner 10680 Spruce Bough St, Las Vegas, NV 89183-4631 2020-11-04
1811596463 Carolina Salaberrios Nurse Practitioner 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 2020-10-23
1851990840 John Marius Agravio Tolentino Nurse Practitioner 3557 Winter Wren St, Las Vegas, NV 89122-3539 2020-10-21
1811596760 Emmelyn Pineda Rivas Nurse Practitioner 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 2020-10-21
1659979052 Francis Torres Nurse Practitioner 10010 Fort Pike St, Las Vegas, NV 89178-7543 2020-10-16
1144828849 Julio Arvie Mata Madarazo Jr. Nurse Practitioner 6284 Canvasback Ave, Las Vegas, NV 89122-3545 2020-10-14
1104424076 Khelsey Macaspac Nurse Practitioner 6446 Dunns River St, Las Vegas, NV 89166-8064 2020-10-13
1912505199 Angelica Villahermosa Nurse Practitioner 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 2020-10-11
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Competitor

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City LAS VEGAS
Zip Code 89129

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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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