MARCIA HAGBERG (NPI# 1780072983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780072983 |
| Entity Type | Individual |
| Full Name | MARCIA HAGBERG |
| Practice Address |
1640 E Flamingo Rd Las Vegas NV 89119-5249 |
| Practice Telephone | 7254002515 |
| Mailing Telephone | 7254002515 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN75384 | NV | Nursing Service Providers |
| Street Address |
1640 E FLAMINGO RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255613931 | Jorge Castillon | Counselor | 1640 E Flamingo Rd, 100, Las Vegas, NV 89119-5249 | 2011-09-19 |
| 1629637509 | Help of Southern Nevada | Substance Abuse Rehabilitation Facility | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2019-06-13 |
| 1396259743 | Steven A Frye | Counselor | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2017-11-21 |
| 1427506062 | Tammie Cherry | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2016-09-12 |
| 1437605128 | Marquise Crowley | Rehabilitation Practitioner | 1640 E Flamingo Rd, # 0100, Las Vegas, NV 89119-5249 | 2016-09-01 |
| 1932652997 | Jennifer Varsallona | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2016-07-26 |
| 1891171328 | Phillip Martin | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-08-06 |
| 1881070886 | Marissa Jedynak | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-08-03 |
| 1194105072 | Keith Allen | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-06-04 |
| 1457739104 | Alicia Smith | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790142073 | Michael Mcgrath | Registered Nurse | 9650 Bandera Creek Ave, Las Vegas, NV 89148-4231 | 2016-01-18 |
| 1154920593 | Candi N Tondoneh | Registered Nurse | 1650 Community College Dr, Las Vegas, NV 89146-1144 | 2020-10-17 |
| 1639661549 | Mohamed Alhaji Kamara | Registered Nurse | 6396 Mcleod Dr Ste 9, Las Vegas, NV 89120-4429 | 2018-06-06 |
| 1356625206 | Julie S Kokoczka | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2011-10-10 |
| 1497038392 | Sandra Robertson | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2011-09-27 |
| 1508174160 | Belinda D Perez | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2010-09-16 |
| 1821227158 | Romuel Vinas Flores | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2009-07-08 |
| 1053540476 | Leyla Wray | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2009-07-07 |
| 1538398953 | Eva Daisy Mandapat | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2009-07-07 |
| 1578727079 | Pia Alma L. De Jesus | Registered Nurse | 720 S 7th St, 200, Las Vegas, NV 89101-6932 | 2008-07-14 |
| 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.