DR. MASHIKO JENNY TAVARES (NPI# 1336762525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336762525 |
| Entity Type | Individual |
| Full Name | DR. MASHIKO JENNY TAVARES |
| Other Name | MASHIKO JENNY LEKANA |
| Credential | M.D., MPH. R.S.T |
| Practice Address |
1711 Songlight Court Las Vegas NV 89117 |
| Mailing Address |
45 Sunglow Lane Las Vegas NV 89135 |
| Practice Telephone | 7024501120 |
| Practice Fax Number | 7023048255 |
| Mailing Telephone | 7023557822 |
| Mailing Fax Number | 7023048255 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
| Street Address |
1711 SONGLIGHT COURT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| 1053814517 | Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio | Psychiatry & Neurology | 7670 West Sahara Ave, Suite B, Las Vegas, NV 89117 | 2018-03-12 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
Please comment or provide details below to improve the information on DR. MASHIKO JENNY TAVARES.
| 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.