KELLY SUE PEREZ (NPI# 1730412172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730412172 |
| Entity Type | Individual |
| Full Name | KELLY SUE PEREZ |
| Other Name | KELLY SUE JOHNSON |
| Credential | RPA-C |
| Practice Address |
7500 Smoke Ranch Rd Ste 200 Las Vegas NV 89128-0373 |
| Mailing Address |
7150 W Sunset Rd Ste 201a Las Vegas NV 89113-1981 |
| Practice Telephone | 7022330727 |
| Practice Fax Number | 7022330499 |
| Mailing Telephone | 7023161622 |
| Mailing Fax Number | 7029510782 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055368 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640394 | Kelly Perez | Counselor | 9150 Waterman Rd Apt 116, Elk Grove, CA 95624-5079 | 2019-07-03 |
| 1184173908 | Kelly Perez | Marriage & Family Therapist | 84-14 Queens Blvd, Elmhurst, NY 11373 | 2016-09-22 |
| 1003448036 | Kelly Allin Perez | Counselor | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2020-02-07 |
| 1114581055 | Kelly Stephanie Perez | Social Worker | 1405 Spruce St, Riverside, CA 92507-2464 | 2019-04-25 |
| 1679057236 | Kelly Perez | Marriage & Family Therapist | 2790 Skypark Dr Ste 215, Torrance, CA 90505-5388 | 2018-09-19 |
| 1194261693 | Kelly Perez | Behavioral Analyst | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2017-01-09 |
| 1902277643 | Kelly Lynn Perez | Nurse Practitioner | 4875 Higbee Ave Nw, Canton, OH 44718-2566 | 2015-10-07 |
| 1548491178 | Kelly Lynn Perez | Pharmacist | 820 S Damen Ave, Pharmacy Service 119, Chicago, IL 60612-3728 | 2009-07-30 |
| 1053565366 | Kelly Jean Perez | Dietitian, Registered | 4076 Neely Rd, Ft. Wainwright, AK 99703 | 2008-11-13 |
| 1376629493 | Kelly Perez | Physician Assistant | 1700 Oak Ave, Muskegon, MI 49442-2407 | 2006-10-31 |
| Street Address |
7500 SMOKE RANCH RD STE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972944494 | Stephen Joseph Delcasino Jr. | Physician Assistant | 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128-0373 | 2013-07-12 |
| 1386946481 | Haibin Zhang | Physician Assistant | 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128 | 2010-11-22 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| 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.