MISS JENNIFER MARIE DURHAM (NPI# 1629429196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629429196 |
Entity Type | Individual |
Full Name | MISS JENNIFER MARIE DURHAM |
Credential | MMP LMT |
Practice Address |
2473 Abarth St Las Vegas NV 89142-2501 |
Practice Telephone | 7024822420 |
Mailing Telephone | 7024822420 |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | NVMT2710 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | LMT | NVMT2710 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265929392 | Jennifer Nicole Durham | Peer Specialist | 307 N Bighorn St, Skiatook, OK 74070-3807 | 2018-04-14 |
1033374996 | Jennifer Dawn Durham | Social Worker | 3605 Ne Loop 286 Ste 900, Paris, TX 75460-4912 | 2008-07-21 |
1457399206 | Jennifer B. Durham | Nurse Practitioner | 1850 Town Center Pkwy Ste 550, Reston, VA 20190-3300 | 2006-06-03 |
1043839285 | Jennifer L Durham | Nurse Practitioner | 2031 Dream Catcher Plz, Oneida, NY 13421-2729 | 2020-04-08 |
1013419639 | Jennifer L Durham | Dental Hygienist | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-02-28 |
1932610706 | Jennifer Durham | Counselor | 46 E Water St, Chillicothe, OH 45601-2544 | 2017-10-19 |
1629403563 | Jennifer Rose Durham | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2013-09-11 |
1558627430 | Jennifer L Durham | Occupational Therapist | 979 E 3rd St, Suite C-920, Chattanooga, TN 37403-2136 | 2012-04-05 |
1104156264 | Jennifer Michelle Durham | Registered Nurse | 201 Governors Dr Sw, Suite 400, Huntsville, AL 35801-5170 | 2010-01-12 |
1780881888 | Jennifer Durham | Counselor | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2007-07-02 |
Street Address |
2473 ABARTH ST |
City | LAS VEGAS |
State | NV |
Zip Code | 89142-2501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407473051 | Elia Reyes | Technician | 5208 Blossom Ave, Las Vegas, NV 89142 | 2020-06-30 |
1851932644 | Bernardita Katang Byrd | Technician | 6527 Firstview Ave, Las Vegas, NV 89142 | 2019-10-02 |
1730739517 | Michelle Hundley | Technician | 1482 S Phyllis St, Las Vegas, NV 89142 | 2019-09-13 |
1619485208 | Alxenia P Brown-gay | Technician | 5150 Spyglass St., Apt. 257, Las Vegas, NV 89142 | 2018-01-17 |
1861868374 | Yanet San Pedro Avile | Rehabilitation Practitioner | 5306 Sandstone, Las Vegas, NV 89142 | 2015-08-19 |
1174911820 | Jennifer Nguyen Vo | Pharmacist | 5011 East Sahara Ave, Las Vegas, NV 89142 | 2015-01-05 |
1003024605 | Neighborhood Dental | Clinic/Center | 5061 E. Sahara Ave Ste 1a, Las Vegas, NV 89142 | 2007-05-18 |
1962499384 | Rachel A Mcconnell | Obstetrics & Gynecology | 653 Town Center Dr, 206, Las Vegas, NV 89142 | 2005-09-30 |
1578039947 | Duniet J Bonachea Hernandez | Technician | 1330 Amapola Dr, Las Vegas, NV 89142-0101 | 2018-10-23 |
1255620795 | Rosa Villarreal | Rehabilitation Practitioner | 5740 Blossom View Ave, Las Vegas, NV 89142-0108 | 2011-04-05 |
Find all providers in zip 89142 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275133480 | Jasmine White | Massage Therapist | 3820 Celcius Pl, Las Vegas, NV 89129-6480 | 2020-10-27 |
1508465931 | Amber E Lloyd | Massage Therapist | 5855 Natures Dr, Las Vegas, NV 89122-6104 | 2020-10-17 |
1427656842 | Daniel Vasquez Vargas | Massage Therapist | 7509 Council Ave, Las Vegas, NV 89128-3253 | 2020-10-16 |
1134735020 | Walter Strickland | Massage Therapist | 5332 Danville Ln, Las Vegas, NV 89119-1154 | 2020-09-16 |
1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
1922612589 | Janae Preston | Massage Therapist | 5540 W Harmon Ave Apt 1005, Las Vegas, NV 89103-5123 | 2020-09-01 |
1427668920 | Kendell Gruendell | Massage Therapist | 690 Hermosa Palms Ave, Las Vegas, NV 89123-2314 | 2020-08-09 |
1093325532 | Shannon Yee | Massage Therapist | 4310 Sandy River Dr Unit 73, Las Vegas, NV 89103-6108 | 2020-08-07 |
1285244871 | Antyonett Christina Santana | Massage Therapist | 5415 W Harmon Ave Unit 1047, Las Vegas, NV 89103-7013 | 2020-08-07 |
1851917389 | Stacey Toomey | Massage Therapist | 3950 E Sunset Rd Ste 118, Las Vegas, NV 89120-4906 | 2020-06-20 |
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.