CASSIDY LYNN WEATHERWAX (NPI# 1801283114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801283114 |
| Entity Type | Individual |
| Full Name | CASSIDY LYNN WEATHERWAX |
| Practice Address |
5880 Boulder Falls St Apt 1006 Henderson NV 89011-4929 |
| Practice Telephone | 7025036109 |
| Mailing Telephone | 7025036109 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NV | Behavioral Health & Social Service Providers |
| Street Address |
5880 BOULDER FALLS ST APT 1006 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89011-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322749 | Lauren Chapple Love | Student in an Organized Health Care Education/Training Program | 1820 E. Warm Springs Rd, Suite 115, Suite 115, Henderson, NV 89011 | 2020-03-23 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1720508658 | Dennis Cortez | Nurse Practitioner | 800 N. Gibson Rd., 201, Henderson, NV 89011 | 2017-06-21 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1962821645 | Champions Behavioral Health Care | Counselor | 833 Aspen Peak Loop #524, Henderson, NV 89011 | 2014-04-10 |
| 1154748127 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 1536 N. Boulder Highway, Henderson, NV 89011 | 2014-03-27 |
| 1174951651 | Neveda Behavioral Health | Behavioral Analyst | 930 Canale Drive, Henderson, NV 89011 | 2013-10-21 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1003102682 | Kerri S. Korin | Social Worker | 3155 E. Patrick Lane, Suite 1, Las Vegas, NV 89011 | 2011-06-22 |
| 1306163993 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 513 West Sunset Rd, Henderson, NV 89011 | 2010-04-22 |
| Find all providers in zip 89011 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708310 | Heather Adams | Counselor | 915 Alper Center Dr Unit 3205, Henderson, NV 89052-1539 | 2020-10-18 |
| 1023627734 | Nicole R Vaughn Changing Minds | Counselor | 1070 Wigwam Pkwy Ste 120, Henderson, NV 89074-8193 | 2020-07-28 |
| 1710505722 | Christopher Flynn II | Counselor | 540 W Horizon Ridge Pkwy, Henderson, NV 89012-5202 | 2020-07-07 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1215551841 | Jacqueline Marie Villalobos | Counselor | 1404 Blaine Ranch St, Henderson, NV 89012-4805 | 2020-05-29 |
| 1750914792 | Charles Jacob Stockwell | Counselor | 2473 Bench Reef Pl, Henderson, NV 89052-5202 | 2020-02-18 |
| 1184260788 | Nathaniel Jacob Minetto | Counselor | 375 N Stephanie St # 8, Henderson, NV 89014-8771 | 2019-11-19 |
| 1225692965 | Jeannette Alina Cabagua | Counselor | 724 Bollons Island St, Henderson, NV 89002-0966 | 2019-04-29 |
| 1952862542 | Pervin N/a Gupta | Counselor | 2535 Binary Stars St, Henderson, NV 89044-4427 | 2019-03-27 |
| 1194289710 | Ernest Griego | Counselor | 2050 S Magic Way Spc 130, Henderson, NV 89002-8636 | 2019-01-28 |
| Find all providers in HENDERSON | ||||
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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.