JILL ANTELL (NPI# 1720104649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720104649 |
| Entity Type | Individual |
| Full Name | JILL ANTELL |
| Other Name | JILL TUNNELL |
| Credential | WHNP |
| Practice Address |
2704 N Tenaya Way Las Vegas NV 89128 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7028775199 |
| Mailing Telephone | 7028775199 |
| Mailing Fax Number | 6023233496 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN 178779 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
825017 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
TRN170433 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10028 Arbuckle Dr, Las Vegas, NV 89134 | 9708195064 | |
| 635 East Baseline Road, Phoenix, AZ 850426551 | 6022437277 | 6022435019 |
| Street Address |
2704 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399109 | Elizabeth Brewer | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2005-07-11 |
| 1790329407 | Robert B. Mcbeath, Md II PC | Internal Medicine | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-11-05 |
| 1881237287 | Toni Harris | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-10-18 |
| 1730745217 | Heather Webb | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2019-05-10 |
| 1215490453 | Darneen Pang | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-04-12 |
| 1366919870 | Ainin Alifah Kasdi | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2018-11-01 |
| 1871076588 | Carlie Jane Thompson | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2018-09-09 |
| 1194173732 | Natalia Ermakova | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2016-05-24 |
| 1104273218 | Moayad Ismail | Internal Medicine | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2016-05-18 |
| 1457719635 | Rebecca Stevens | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2016-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225285976 | Katrina Haslett Md PC | Nurse Practitioner | 2940 S Jones Blvd Ste C, Las Vegas, NV 89146-5630 | 2008-08-25 |
| 1063694651 | Fertility Center of Las Vegas LLP | Nurse Practitioner | 8851 W Sahara Ave Ste 100, Las Vegas, NV 89117-5890 | 2007-12-05 |
| 1487855011 | Melanie Joyce Hazen | Nurse Practitioner | 601 S Rancho Dr Ste D34, Las Vegas, NV 89106-4874 | 2007-05-30 |
| 1457552648 | Becky R Gonzales | Nurse Practitioner | 7997 W Sahara Ave Ste 103, Las Vegas, NV 89117 | 2007-05-29 |
| 1801910120 | Maribel E Monroe Md Ltd | Nurse Practitioner | 2480 Professional Ct Ste 110, Las Vegas, NV 89128-0835 | 2007-03-19 |
| 1568527323 | Sadona Helen Jacklin | Nurse Practitioner | 9120 W Post Rd, 200, Las Vegas, NV 89148-2407 | 2006-12-22 |
| 1366532434 | Tikva Darvish Butler | Nurse Practitioner | 2860 E. Desert Inn Road, Las Vegas, NV 89121 | 2006-10-13 |
| 1386600732 | Marie A. Mitchell | Nurse Practitioner | 8480 S Eastern Ave, Las Vegas, NV 89123-2821 | 2006-04-25 |
| 1730645714 | Affinity Womens Care Las Vegas | Nurse Practitioner | 7997 W Sahara Ave Ste 103, Las Vegas, NV 89117-7901 | 2019-02-14 |
| 1093279440 | Sabrina Eisinga | Nurse Practitioner | 3196 S Maryland Pkwy Ste 209, Las Vegas, NV 89109-2313 | 2019-01-29 |
| 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.