JERELL SPRINGER (NPI# 1619479151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619479151 |
| Entity Type | Individual |
| Full Name | JERELL SPRINGER |
| Practice Address |
4017 Fabulous Finches Ave North Las Vegas NV 89084 |
| Practice Telephone | 7023842273 |
| Mailing Telephone | 7023842273 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
4017 FABULOUS FINCHES AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396169066 | Hellena Walker | Home Health | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2014-02-14 |
| 1134761406 | Dominic James Sturdivant I | Psychologist | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2019-10-08 |
| 1427558428 | Damare Johnson | Technician | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-02-15 |
| 1144729310 | Patsy Jackson | Technician | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-02-02 |
| 1508365792 | Bryan Terell Roland Jr. | Technician | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-02-02 |
| 1023517299 | Helen Gordon | Technician | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-02-02 |
| 1841799038 | Mark Anthony Driver Jr. | Technician | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-02-02 |
| 1164920435 | Latosha D Johnson | Psychologist | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093072 | Nakia T Newson | Technician | 3033 Little Crimson Ave, North Las Vegas, NV 89081-6584 | 2020-11-04 |
| 1972101673 | Yamileth Abicely Flores Molina | Technician | 4422 Scarlet Sea Ave, North Las Vegas, NV 89031-0454 | 2020-10-14 |
| 1942807714 | Mark Dela Vega | Technician | 2913 Vigilante Ct, North Las Vegas, NV 89081-6401 | 2020-10-05 |
| 1780295410 | Shanethia Mcneal | Technician | 5210 Rock Cabin Ct, North Las Vegas, NV 89031-3422 | 2020-08-14 |
| 1023629532 | Christopher Farley | Technician | 2212 Dale Bumpers Ct, North Las Vegas, NV 89081-2679 | 2020-08-10 |
| 1407466279 | Sylvia Ruacho | Technician | 2720 Holmes St, North Las Vegas, NV 89030-5428 | 2020-08-05 |
| 1255941274 | Marissa Elizabeth Nunez | Technician | 2105 Broken Twig Ct, North Las Vegas, NV 89032-0704 | 2020-08-04 |
| 1417567801 | Daniela Mendiola | Technician | 414 Violetta Ave, North Las Vegas, NV 89031-1785 | 2020-07-31 |
| 1548879265 | Jodi Knecht | Technician | 3216 Stanley Ave, North Las Vegas, NV 89030-7230 | 2020-07-28 |
| 1770101834 | Generson Cruz Manubay | Technician | 6916 Fox Sparrow Ct, North Las Vegas, NV 89084-2072 | 2020-07-06 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on JERELL SPRINGER.
| 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.