KIMBERLY GENE BLAND (NPI# 1699956706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699956706 |
| Entity Type | Individual |
| Full Name | KIMBERLY GENE BLAND |
| Credential | CPC; MFT; QMHP |
| Practice Address |
400 Shadow Ln Ste 106 Las Vegas NV 89106-4355 |
| Mailing Address |
8936 Spanish Ridge Ave Las Vegas NV 89148-1354 |
| Practice Telephone | 7027310909 |
| Mailing Telephone | 7027310909 |
| Mailing Fax Number | 7028264757 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
394-L | NV | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
CPC 0024 | NV | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 01197 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1699956706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598120677 | Kimberly Bland | Registered Nurse | 8832 Hardesty Dr, Clinton, MD 20735-4703 | 2015-12-16 |
| 1972645075 | Kimberly Bland | Nurse Practitioner | Mtsu -mcfarland Student Health Services, 1301 East Main St., Murfreesboro, TN 37132-0001 | 2007-02-13 |
| 1467858019 | Kimberly Bland | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2014-11-10 |
| Street Address |
400 SHADOW LN STE 106 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124193206 | Keith Allen Breiland | Internal Medicine | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2006-11-22 |
| 1710531553 | Megan Diaz | Rehabilitation Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2019-07-30 |
| 1487115952 | Julia Irene Kannard | Counselor | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2019-03-27 |
| 1528502804 | Alyson M. Cannon | Counselor | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2016-12-06 |
| 1619429933 | Lilnetra Grady | Nurse Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2016-11-03 |
| 1619390978 | Cynthia Capurso | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-22 |
| 1114349453 | Janice Richardson | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-06 |
| 1902146657 | Teodoro Rio Montemayor Manalang | Nurse Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2013-02-18 |
| 1992043574 | Mae Badua Guerrero | Nurse Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2013-01-16 |
| 1972851962 | Milka Aviles-quintana | Marriage & Family Therapist | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2012-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382424 | Angelic Solution Wellness Center, LLC | Marriage & Family Therapist | 3600 Monarcas St Unit 102, Las Vegas, NV 89108-8718 | 2020-09-25 |
| 1396350914 | Victoria Denise Means | Marriage & Family Therapist | 4535 W Russell Rd, Las Vegas, NV 89118-2257 | 2020-09-10 |
| 1215549357 | Caitlyn Gilmour | Marriage & Family Therapist | 2915 W Charleston Blvd Ste 130, Las Vegas, NV 89102-1975 | 2020-08-19 |
| 1801415344 | Adrienne Oneal | Marriage & Family Therapist | 10655 Park Run Dr Ste 200, Las Vegas, NV 89144-4590 | 2020-04-14 |
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1457999195 | Julie Robinson | Marriage & Family Therapist | 601 S Rancho Dr Ste 10, Las Vegas, NV 89106-4899 | 2019-12-12 |
| 1588209027 | Mark Stets | Marriage & Family Therapist | 3925 Lost Miner Ct, Las Vegas, NV 89129-7658 | 2019-11-07 |
| 1316597321 | James Michael Thomas | Marriage & Family Therapist | 3270 Liahona Way, Las Vegas, NV 89121-5714 | 2019-09-12 |
| 1053968123 | Dennis Leroy Henson | Marriage & Family Therapist | 7945 Blue Venice Ct, Las Vegas, NV 89117-2515 | 2019-08-22 |
| 1467008557 | Alma Rosa Spears | Marriage & Family Therapist | 2850 Lindell Rd, Las Vegas, NV 89146-6815 | 2019-08-14 |
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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.