JUDITH L TREVISANO (NPI# 1760842512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760842512 |
| Entity Type | Individual |
| Full Name | JUDITH L TREVISANO |
| Credential | NP |
| Practice Address |
1000 S Rainbow Blvd Las Vegas NV 89145-6231 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7024794881 |
| Practice Fax Number | 7029668662 |
| Mailing Telephone | 7022163346 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN002329 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2016008575 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1234567890 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1760842512 | 05 |
| Street Address |
1000 S RAINBOW BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172448 | Marcelino Cucio Belizario | Internal Medicine | 1000 S Rainbow Blvd, Ste. A, Las Vegas, NV 89145-6231 | 2005-05-24 |
| 1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
| 1407313935 | Adriana Nurkiewicz | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-02-20 |
| 1942775796 | Michelle S. Celeste I | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2018-10-08 |
| 1548765167 | Demissie H Solomon | Registered Nurse | 1000 S Rainbow Blvd, Las Vegas, NV 89145 | 2018-03-26 |
| 1033613203 | Carol Ann Krisan M Arenas | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145 | 2018-03-21 |
| 1700302445 | Rosette Sandrine Makon | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-08-15 |
| 1578004024 | Ladonna Michelle Mills | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-03-16 |
| 1194264689 | Shane A Durham | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-02-16 |
| 1164967162 | Christopher M. Misa | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649468 | Mary Denisse Toribio | Nurse Practitioner | 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 | 2020-11-05 |
| 1407315344 | Delfina Simpson | Nurse Practitioner | 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 | 2019-03-19 |
| 1801362942 | Mary Ann Lorenzo Enriquez | Nurse Practitioner | 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 | 2018-10-16 |
| 1164901245 | Jasmina Santos Fornbacher | Nurse Practitioner | 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 | 2018-08-09 |
| 1275037517 | Mary Manoharan | Nurse Practitioner | 1240 N Mlk Blvd, Las Vegas, NV 89106-2825 | 2018-03-21 |
| 1487192308 | Hannah Harris-austin | Nurse Practitioner | 494 Redruth Dr, Las Vegas, NV 89178-1244 | 2017-02-11 |
| 1275908444 | Theophilus Mbi Akoh | Nurse Practitioner | 2831 Business Park Ct Ste 110, Las Vegas, NV 89128-9000 | 2015-12-14 |
| 1245625284 | Diversified Health Care Services LLC | Nurse Practitioner | 4550 W Oakey Blvd Ste 111-n, Las Vegas, NV 89102-1581 | 2015-04-06 |
| 1114270899 | Karissa Tan | Nurse Practitioner | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 | 2012-10-18 |
| 1053690362 | Yamilka Castillo Gongora | Nurse Practitioner | 4275 Burnham Ave Ste 210, Las Vegas, NV 89119-5400 | 2011-08-04 |
| 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.