BREANNA LUCKEY (NPI# 1770193674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770193674 |
| Entity Type | Individual |
| Full Name | BREANNA LUCKEY |
| Practice Address |
370 Casa Norte Dr Unit 2007 North Las Vegas NV 89031-3328 |
| Mailing Address |
307 Casa Norte Dr # 2007 North Las Vegas NV 89031-3320 |
| Practice Telephone | 7026709196 |
| Mailing Telephone | 7026709196 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
370 CASA NORTE DR UNIT 2007 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801211891 | Andrea Trujillo I | Psychologist | 3020 E Bonanza Suite 160-a, Las Vegas, NV 89101 | 2014-02-27 |
| 1912328162 | Nevada Senior Services Inc | Psychologist | 905 N Jones Blvd, Las Vegas, NV 89108-1655 | 2013-12-13 |
| 1821139098 | Steven Goldstein | Psychologist | 5600 Spring Mountain Rd, Suite 102, Las Vegas, NV 89146-8821 | 2007-02-09 |
| 1063915387 | Tamara Calana | Psychologist | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-03-13 |
| City | NORTH LAS VEGAS |
| Zip Code | 89031 |
Please comment or provide details below to improve the information on BREANNA LUCKEY.
| 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.