ALICIA BLENKUSH (NPI# 1407374309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407374309 |
| Entity Type | Individual |
| Full Name | ALICIA BLENKUSH |
| Credential | APRN |
| Practice Address |
6900 Pecos Rd North Las Vegas NV 89086-4400 |
| Mailing Address |
8833 Valley Creek Dr Las Vegas NV 89134-0372 |
| Practice Telephone | 7029852324 |
| Practice Fax Number | 7029852324 |
| Mailing Telephone | 4058201636 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN002653 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN002653 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6900 PECOS RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89086-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718991 | Meeta Patel | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2005-05-24 |
| 1437677556 | Seung Ki Min | Pharmacist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-08 |
| 1518485077 | Megan Elizabeth Theuerkauf | Specialist/Technologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-09-05 |
| 1407372576 | Rachal Brown | Audiologist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1447776505 | Lindsey Rae Fadely | Registered Nurse | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-20 |
| 1114442977 | Douglas James Deak | Occupational Therapist | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-13 |
| 1205351327 | Sarah A Yao | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-09 |
| 1265957559 | Martin Alvarez | Social Worker | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-08-08 |
| 1285158725 | Michelle L Crawford | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-07-26 |
| 1922521731 | Kylee Taylor | Dietitian, Registered | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
| 1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
| 1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
| 1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
| 1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
| 1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
| Find all providers in zip 89086 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
| 1285158725 | Michelle L Crawford | Nurse Practitioner | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002907 | Faith Iseh | Nurse Practitioner | 10470 W Cheyenne Ave Ste 115 Pmb 311, Las Vegas, NV 89129-8733 | 2020-10-29 |
| 1861009664 | Gregory Lawrence Walker II | Nurse Practitioner | 7600 S Rainbow Blvd Apt 2044, Las Vegas, NV 89139-5493 | 2020-09-25 |
| 1427682061 | Sarah C Day | Nurse Practitioner | 11024 Salernes St, Las Vegas, NV 89141-3811 | 2020-02-22 |
| 1265082895 | Sofia Gates | Nurse Practitioner | 7346 Emerald Glow St, Las Vegas, NV 89123-1303 | 2019-09-16 |
| 1619448289 | Wayne Seare | Nurse Practitioner | 275 Calvino Ave, Las Vegas, NV 89183-5602 | 2018-12-07 |
| 1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
| 1669968681 | Jasmine Jac LLC | Nurse Practitioner | 169 Short Ruff Way, Las Vegas, NV 89148-5259 | 2018-07-02 |
| 1851805295 | Elise Noelle Sterritt | Nurse Practitioner | 142 Willow Glen Ct, Henderson, NV 89074-0659 | 2017-11-21 |
| 1598203978 | Kazakk LLC | Nurse Practitioner | 7866 W Sahara Ave, Las Vegas, NV 89117-1944 | 2017-02-06 |
| 1821545559 | Saradamani Chinnaswamy | Nurse Practitioner | 6960 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128-3204 | 2016-09-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89086 |
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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.