MRS. MILTIA ALEXA MARIE CAMPBELL III (NPI# 1679699458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679699458 |
Entity Type | Individual |
Full Name | MRS. MILTIA ALEXA MARIE CAMPBELL III |
Practice Address |
1505 John Bevy Ct N Las Vegas NV 89086-1382 |
Practice Telephone | 3303891250 |
Mailing Telephone | 3303891250 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-09-02 |
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 | ||
N | 374U00000X | Home Health Aide | 6701877 | OH | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1396950374 | 05 | |
OH | 2657478 | 05 |
Street Address |
1505 JOHN BEVY CT |
City | N LAS VEGAS |
State | NV |
Zip Code | 89086-1382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356961916 | Arianna Gardea | Technician | 1936 Bluff Knoll Ct, Las Vegas, NV 89086 | 2020-04-23 |
1891285078 | Rachelle Joy Lim | Nurse Practitioner | Va Southern Nevada, 6900 Pecos Rd, North Las Vegas, NV 89086 | 2018-05-14 |
1548767759 | Salena Z. Thong | Optometrist | 6900 N Pecos Rd # 123, North Las Vegas, NV 89086 | 2018-04-12 |
1538564372 | Anne Croker | Behavioral Analyst | 6729 Kyle Stewart Ct, North Las Vegas, NV 89086 | 2014-10-22 |
1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
1548556897 | Sophie Kao Chwa | Internal Medicine | 6900 N.pecos Road, Las Vegas, NV 89086 | 2011-06-24 |
1124258736 | Hyunseok Charlie Chi | Dentist | 640 E Deer Springs Way Ste 180, North Las Vegas, NV 89086 | 2009-07-16 |
1558496901 | Kelly Clair Lord | Dietitian, Registered | 6900 North Pecos Dr, North Las Vegas, NV 89086 | 2007-02-23 |
1861554883 | Elaine Marie Krows | Social Worker | 6900 North Pecos Road (122-crrc), Las Vegas, NV 89086 | 2006-12-15 |
1730257783 | Marile Hoffman | Internal Medicine | 6900 N Pecos Road Attn: Primary Care Servce, North Las Vegas, NV 89086 | 2006-11-30 |
Find all providers in zip 89086 |
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 |
1619466760 | Kyjana Small | Rehabilitation Practitioner | 5816 Creekside Sands Ln, N Las Vegas, NV 89031-3645 | 2018-05-03 |
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 |
Find all providers in N LAS VEGAS |
City | N LAS VEGAS |
Zip Code | 89086 |
Please comment or provide details below to improve the information on MRS. MILTIA ALEXA MARIE CAMPBELL III.
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.