KRISTOPH ANDREAS OLOF OEDMAN (NPI# 1417391046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417391046 |
| Entity Type | Individual |
| Full Name | KRISTOPH ANDREAS OLOF OEDMAN |
| Practice Address |
4160 S Pecos Rd Ste 18 Las Vegas NV 89121-5027 |
| Practice Telephone | 7023963464 |
| Mailing Telephone | 7023963464 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4160 S PECOS RD STE 18 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649418724 | Smart Start | Clinic/Center | 4160 S Pecos Rd Ste 18, Suite18, Las Vegas, NV 89121-5027 | 2009-01-28 |
| 1245765593 | Valeria Pineda | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2017-04-25 |
| 1497177521 | Arlene Lagmay | Marriage & Family Therapist | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2014-01-08 |
| 1780015933 | Tina Tran | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-12-12 |
| 1083045439 | Brittney Bostic | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-12-11 |
| 1659706331 | Fred Bracey Fitts Jr. | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-09-12 |
| 1629403399 | Kristina Marie Diamond | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-09-12 |
| 1629403381 | Sharon Lori Pacheco | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-09-12 |
| 1689010944 | Mercediz Latrice Hand | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-05-14 |
| 1932543568 | Tirza Grant | Rehabilitation Practitioner | 4160 S Pecos Rd Ste 18, Las Vegas, NV 89121-5027 | 2013-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| 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.