KYJANA SMALL (NPI# 1619466760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619466760 |
| Entity Type | Individual |
| Full Name | KYJANA SMALL |
| Practice Address |
5816 Creekside Sands Ln N Las Vegas NV 89031-3645 |
| Practice Telephone | 9098569564 |
| Mailing Telephone | 9098569564 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| 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 |
5816 CREEKSIDE SANDS LN |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89031-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| 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 |
|---|---|---|---|---|
| 1780223321 | Kushica K Flowers | Rehabilitation Practitioner | 5005 Losee Rd Apt 1108, N Las Vegas, NV 89081-2495 | 2019-12-30 |
| 1558737015 | Nina Davis | Rehabilitation Practitioner | 6023 Glitter Gold Ct, N Las Vegas, NV 89031-7212 | 2015-08-18 |
| 1205218674 | Markesha Nix-powell | Rehabilitation Practitioner | 2444 Englestad St, N Las Vegas, NV 89030-3816 | 2015-06-22 |
| 1992184725 | Christine Briley | Rehabilitation Practitioner | 5239 English Aster Ct, N Las Vegas, NV 89081-4004 | 2015-05-26 |
| 1972906451 | Genevieve Batiste | Rehabilitation Practitioner | 4538 W Craig Rd Ste 250, N Las Vegas, NV 89032-2510 | 2014-09-29 |
| 1184047979 | Beverly Magot Harrison | Rehabilitation Practitioner | 416 W Azure Ave, N Las Vegas, NV 89031-1368 | 2014-01-29 |
| 1770904104 | Mayra Ornelas | Rehabilitation Practitioner | 3145 Manti Peak Ave, N Las Vegas, NV 89081-6550 | 2014-01-03 |
| 1588090666 | Sara Johnson | Rehabilitation Practitioner | 1627 Bent Arrow Dr, N Las Vegas, NV 89031-1559 | 2013-09-19 |
| 1609215524 | Charlette Smith | Rehabilitation Practitioner | 2724 Advancement Ave, N Las Vegas, NV 89031-0953 | 2013-06-25 |
| 1669725594 | Ivie Lee Samuel | Rehabilitation Practitioner | 1881 W Alexander Rd Unit 2061, N Las Vegas, NV 89032-9044 | 2012-10-16 |
| Find all providers in N LAS VEGAS | ||||
| City | N LAS VEGAS |
| Zip Code | 89031 |
Please comment or provide details below to improve the information on KYJANA SMALL.
| 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.