FIDEL PETERSON


Address: 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460
Phone: 7028222600

FIDEL PETERSON (NPI# 1720699812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720699812
Entity Type Individual
Full Name FIDEL PETERSON
Practice Address 8670 W Cheyenne Ave Ste 135
Las Vegas
NV 89129-7460
Practice Telephone 7028222600
Mailing Telephone 7028222600
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 8670 W CHEYENNE AVE STE 135
City LAS VEGAS
State NV
Zip Code 89129-7460

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669969002 Tracey L Richards Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2018-04-20
1316547235 Bryanne Dennis-eason Home Health Aide 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-10-29
1114527405 Nordica Goldsmith Home Health Aide 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-10-27
1982204418 Howard Gardner Home Health Aide 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-10-26
1912505298 Ada Johnson Home Health Aide 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-10-09
1710590104 Cheryl Hilliard Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-08-26
1245842970 Martina Cade Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-08-24
1427669514 Kyanesha Richardson Mccall Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-08-12
1669081410 Audrey Matthews Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-07-28
1548879216 Jacqueline Lester Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2020-07-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699387621 Voice Specialist LLC Speech-Language Pathologist 3701 Paul Deweert Ct, Las Vegas, NV 89129 2020-08-20
1215563358 Aba Homecare LLC In Home Supportive Care 4456 N Prospect Hill Ct, Las Vegas, NV 89129 2020-03-20
1568935534 Las Vegas Family Medicine Inc. Family Medicine 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 2019-01-02
1477040798 Cynthia Beverly Springer Technician 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 2018-04-23
1518471093 3 Pharmacy LLC Pharmacy 3350 Novat St Ste 110, Las Vegas, NV 89129 2017-11-20
1497207393 Morgan A Lavergne Behavioral Analyst 7650 Siesta Grande Ave., Las Vegas, NV 89129 2016-10-27
1255880191 Sierra Treatment and Recovery Services, LLC Clinic/Center 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 2016-10-03
1710433545 Tyson Miller Dentist 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 2016-08-31
1427450923 Jerale Tiffith Behavioral Analyst 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 2014-09-16
1134463821 Paul Carr Behavioral Analyst 4460 Park Ave, Las Vegas, NV 89129 2012-11-19
Find all providers in zip 89129

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396628 Jill Azevedo Technician 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 2020-11-06
1396346409 Johanna Dwyer Technician 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 2020-11-04
1063013274 Lloyd Major Technician 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 2020-11-04
1861093239 Raiquave Morgan Technician 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 2020-11-03
1669073250 Chrissy Bowser Technician 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 2020-11-02
1235739392 Maxima Del Carmen Garcia Technician 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 2020-10-28
1427657196 Hector Querubin Technician 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 2020-10-22
1043819063 Ma Guadalupe Ramos Michel Technician 2415 Reynolds Ave #101, Las Vegas, NV 89030 2020-10-21
1881293777 Miguel Angel Umpierre Technician 9889 Overlook Ridge Ave, Las Vegas, NV 89148 2020-10-21
1356940654 Shannon Gordon Technician 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 2020-10-19
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89129

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Dataset Information

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.

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