CANDICE JEAN SHIGEMOTO (NPI# 1396094306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396094306 |
| Entity Type | Individual |
| Full Name | CANDICE JEAN SHIGEMOTO |
| Practice Address |
2723 Woodbine Ave Henderson NV 89074-1241 |
| Practice Telephone | 7027368100 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2723 WOODBINE AVE |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708310 | Heather Adams | Counselor | 915 Alper Center Dr Unit 3205, Henderson, NV 89052-1539 | 2020-10-18 |
| 1023627734 | Nicole R Vaughn Changing Minds | Counselor | 1070 Wigwam Pkwy Ste 120, Henderson, NV 89074-8193 | 2020-07-28 |
| 1710505722 | Christopher Flynn II | Counselor | 540 W Horizon Ridge Pkwy, Henderson, NV 89012-5202 | 2020-07-07 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1215551841 | Jacqueline Marie Villalobos | Counselor | 1404 Blaine Ranch St, Henderson, NV 89012-4805 | 2020-05-29 |
| 1750914792 | Charles Jacob Stockwell | Counselor | 2473 Bench Reef Pl, Henderson, NV 89052-5202 | 2020-02-18 |
| 1184260788 | Nathaniel Jacob Minetto | Counselor | 375 N Stephanie St # 8, Henderson, NV 89014-8771 | 2019-11-19 |
| 1225692965 | Jeannette Alina Cabagua | Counselor | 724 Bollons Island St, Henderson, NV 89002-0966 | 2019-04-29 |
| 1952862542 | Pervin N/a Gupta | Counselor | 2535 Binary Stars St, Henderson, NV 89044-4427 | 2019-03-27 |
| 1194289710 | Ernest Griego | Counselor | 2050 S Magic Way Spc 130, Henderson, NV 89002-8636 | 2019-01-28 |
| Find all providers in HENDERSON | ||||
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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.