ERIKA HALLAK (NPI# 1386107290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386107290 |
| Entity Type | Individual |
| Full Name | ERIKA HALLAK |
| Credential | DO |
| Practice Address |
4700 Las Vegas Blvd N Las Vegas NV 89191-6600 |
| Mailing Address |
4700 Las Vegas Blvd Nellis Afb Las Vegas NV 89191-6600 |
| Practice Telephone | 7026532273 |
| Mailing Telephone | 7026533808 |
| Mailing Fax Number | 7026533122 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4700 LAS VEGAS BLVD N |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349611 | Nicholas Andrew Burns | Dental Assistant | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2020-09-02 |
| 1477164994 | Corte Davis | Counselor | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2020-08-10 |
| 1821610023 | Justin Joseph Haller | Physician Assistant | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2020-05-11 |
| 1962033530 | Romulus Darden | Registered Nurse | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2020-01-31 |
| 1457991895 | Sarah Duke | Physician Assistant | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2020-01-14 |
| 1013550607 | Alana Zapata | Pharmacist | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2019-10-25 |
| 1205481728 | Elizabeth Brunson | Physician Assistant | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2019-08-02 |
| 1932766722 | Ryan Wilkes | Dentist | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2019-05-28 |
| 1720541576 | John David Wolfe | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2019-04-09 |
| 1851862163 | Jennifer Renee Hardin | Clinical Nurse Specialist | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2018-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
| 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.