TERRELL WILLIS (NPI# 1679838080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679838080 |
| Entity Type | Individual |
| Full Name | TERRELL WILLIS |
| Practice Address |
9823 Havasupai Ave Las Vegas NV 89148-1740 |
| Practice Telephone | 7028343212 |
| Mailing Telephone | 7028343212 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| 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 |
9823 HAVASUPAI AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780949198 | Carrie Willis | Rehabilitation Practitioner | 9823 Havasupai Ave, Las Vegas, NV 89148-1740 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| 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.