ANTONETTE VERGARA (NPI# 1376083394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376083394 |
| Entity Type | Individual |
| Full Name | ANTONETTE VERGARA |
| Credential | APRN |
| Practice Address |
1569 E Flamingo Rd Las Vegas NV 89119-5321 |
| Mailing Address |
2809 W Charleston Blvd # 150 Las Vegas NV 89102-1998 |
| Practice Telephone | 7024769999 |
| Practice Fax Number | 7029461343 |
| Mailing Telephone | 7024769999 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
APRN002468 | NV | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | APRN002468 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1569 E FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775403 | Spc Capital LLC | Clinic/Center | 1569 E Flamingo Rd, Las Vegas, NV 89119-5131 | 2006-05-10 |
| 1760979819 | Allison Quinn Zieglmeier | Nurse Practitioner | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2018-04-15 |
| 1386004018 | Coppel Surgical Solutions | Clinic/Center | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2016-02-23 |
| 1124462056 | Grant Miki Karno | Physical Medicine & Rehabilitation | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2013-04-22 |
| 1598902199 | Specialty Surgery Center of Pecos, LLC | Clinic/Center | 1569 E Flamingo Rd, Las Vegas, NV 89119-5277 | 2009-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487178927 | Lorenzo Omandac | Registered Nurse | 8402 Centennial Pkwy Ste 100, Las Vegas, NV 89149-4793 | 2017-07-26 |
Please comment or provide details below to improve the information on ANTONETTE VERGARA.
| 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.