AMANDA-GRACE JOHNSON (NPI# 1790385136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790385136 |
| Entity Type | Individual |
| Full Name | AMANDA-GRACE JOHNSON |
| Practice Address |
620 Shadow Ln Las Vegas NV 89106-4194 |
| Mailing Address |
8760 W Patrick Ln Unit 2026 Las Vegas NV 89148-5309 |
| Practice Telephone | 7023884000 |
| Mailing Telephone | 6266284060 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 816524 | NV | Nursing Service Providers |
| Street Address |
620 SHADOW LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417947490 | Valley Hospital Medical Center | General Acute Care Hospital | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2005-10-21 |
| 1205436508 | Emily Denes | Physical Therapist | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2020-10-27 |
| 1689294456 | Elena Lynn Keith | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-22 |
| 1700406675 | Christopher Stephen Burton | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-21 |
| 1619597580 | Kenneth Zeng | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2020-04-21 |
| 1679193536 | Samuel Taylor Hart | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2020-04-21 |
| 1730709619 | Cory Michael Nichols | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-21 |
| 1487274270 | Mckenzie Merritt | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-21 |
| 1447870225 | Carol Ann Haase | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-21 |
| 1235759119 | Jaskiran Kaur Mann | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393567 | Hana Leigh Swartzentruber | Registered Nurse | 10448 Camp Rock Ct, Las Vegas, NV 89178-4039 | 2020-10-14 |
| 1023625688 | Jerri L Bracey | Registered Nurse | 10058 Cloud Break St, Las Vegas, NV 89178-2902 | 2020-09-28 |
| 1780292011 | Ting Ting Hsieh Kinser | Registered Nurse | 8101 Lake Hills Dr, Las Vegas, NV 89128-7088 | 2020-07-22 |
| 1578189361 | Mackenzie Johnson | Registered Nurse | 5100 Autumn Meadow Ave, Las Vegas, NV 89130-7007 | 2020-06-18 |
| 1912529421 | Debbie Dios | Registered Nurse | 2755 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3690 | 2020-05-07 |
| 1275153884 | Roscelle Minoza | Registered Nurse | 9836 Curtsy Ave, Las Vegas, NV 89148-5528 | 2020-04-23 |
| 1871146258 | Megan Manasco | Registered Nurse | 2656 N Buffalo Dr Unit 1436, Las Vegas, NV 89128-4814 | 2019-07-24 |
| 1699333682 | Lalaine Villahermosa | Registered Nurse | 1775 E Tropicana Ave Ste 16-17, Las Vegas, NV 89119-6529 | 2019-06-04 |
| 1962960294 | Maria Virginia Madera | Registered Nurse | 6070 S Fort Apache Rd Ste 110, Las Vegas, NV 89148-5615 | 2019-03-05 |
| 1952874588 | Michelle Sue Sadler | Registered Nurse | 5468 Valensole Ave, Las Vegas, NV 89141-3819 | 2019-01-07 |
| 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.