KETRA JOHNSON (NPI# 1740606912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740606912 |
| Entity Type | Individual |
| Full Name | KETRA JOHNSON |
| Practice Address |
821 N Mojave Rd Las Vegas NV 89101-2407 |
| Practice Telephone | 7026427070 |
| Mailing Telephone | 7026427070 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Gender Code | F |
| 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 |
821 N MOJAVE RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137833 | Father Flanagan's Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2007-03-29 |
| 1851945505 | Father Flanagan's Boys' Home | Psychologist | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2019-07-31 |
| 1649676941 | Tracy Barcus | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-11-13 |
| 1134525579 | Robert Barcus | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-11-12 |
| 1912307000 | Carlos Lopez | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-08-26 |
| 1306246483 | Caitlin Stapley | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-08-26 |
| 1497160733 | Leah Christine Brodie | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-25 |
| 1760897128 | William Harold Allen Berry | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-24 |
| 1114332574 | Brittani Berry | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-06-24 |
| 1437574563 | Meghan Vargo | Rehabilitation Practitioner | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| 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.