JACQUELINE SPANN (NPI# 1649810649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649810649 |
| Entity Type | Individual |
| Full Name | JACQUELINE SPANN |
| Practice Address |
10527 Laurelwood Lake Ave Las Vegas NV 89166-6523 |
| Mailing Address |
4285 N Rancho Dr Las Vegas NV 89130-3446 |
| Practice Telephone | 7023855331 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| 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 |
10527 LAURELWOOD LAKE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89166-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621808 | Elena Rodriguez | Chore Provider | 5000 W Oakley Suite E-1, Las Vegas, NV 89166 | 2019-10-22 |
| 1245739218 | Shelvion Williams | Counselor | 10151 W Dorrell Ln, 2173, Las Vegas, NV 89166 | 2018-02-06 |
| 1770733941 | Lauren B Carter | Speech-Language Pathologist | 6643 Rego Park Ct, Las Vegas, NV 89166 | 2008-09-24 |
| 1639602683 | Nathan Ryan Fowler | Nurse Practitioner | 7516 Clifton Gardens St, Las Vegas, NV 89166-0101 | 2017-04-06 |
| 1710480843 | Sage Alexander Williams | Adult Companion | 9745 Grand Teton Dr Unit 89166, Las Vegas, NV 89166-1017 | 2018-03-15 |
| 1316176274 | Danielle Benscoter | Physical Therapist | 9745 Grand Teton Dr, #3099, Las Vegas, NV 89166-1017 | 2009-07-13 |
| 1962747964 | Ashton Caligone | Rehabilitation Practitioner | 9745 Grand Teton Dr, #2040, Las Vegas, NV 89166-1017 | 2012-12-01 |
| 1760746705 | Tiffany A Webster | Counselor | 10151 Dorrell Ln, Apt 1094, Las Vegas, NV 89166-1026 | 2012-06-25 |
| 1306284807 | Nicole Ward | Counselor | 10151 Dorrell Ln, Unit 1167, Las Vegas, NV 89166-1026 | 2013-06-06 |
| 1306347489 | Ashlee Godwin | Chore Provider | 10151 Dorrell Ln Unit 1017, Las Vegas, NV 89166-1027 | 2018-02-23 |
| Find all providers in zip 89166 | ||||
| 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.