SHANNON KAY SOUTHWICK


Address: 9280 W Sunset Rd, Suite 100, Las Vegas, NV 89148
Phone: 7029521251

SHANNON KAY SOUTHWICK (NPI# 1851768105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851768105
Entity Type Individual
Full Name SHANNON KAY SOUTHWICK
Other Name SHANNON WRIGHT
Credential APRN
Practice Address 9280 W Sunset Rd
Suite 100
Las Vegas
NV 89148
Mailing Address 400 N Stephanie St Ste 300
Henderson
NV 89014-6692
Practice Telephone 7029521251
Practice Fax Number 7029521241
Mailing Telephone 7029523350
Mailing Fax Number 7029523364
Enumeration Date 2015-08-21
Last Update Date 2018-07-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
TAPRN701205 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9280 W SUNSET RD
SUITE 100
City LAS VEGAS
State NV
Zip Code 89148

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NPI Name Taxonomy Address Enumeration
1972503878 Syed T Zaidi Internal Medicine 9280 W Sunset Rd, Suite 320, Las Vegas, NV 89148-4860 2005-07-21
1598114860 Medical Systems Management Neuromusculoskeletal Medicine, Sports Medicine 9280 W Sunset Rd, Suite 412, Las Vegas, NV 89148-4860 2016-06-08
1710343108 Katie Ann Cupp Nurse Practitioner 9280 W Sunset Rd, Suite 312, Las Vegas, NV 89148 2016-01-14
1134542160 Amy Monrreal Physician Assistant 9280 W Sunset Rd, Suite 306, Las Vegas, NV 89148 2014-01-27
1386997039 Adriana Sofia Ruiz Rosario Physician Assistant 9280 W Sunset Rd, Suite 306, Las Vegas, NV 89148-4860 2012-10-18
1720333818 Lorraine Kossol Nurse Practitioner 9280 W Sunset Rd, Suite 312, Las Vegas, NV 89148 2012-07-16
1952602328 Wai Li Ma, M.d., Pllc Internal Medicine 9280 W Sunset Rd, Suite 422, Las Vegas, NV 89148-4860 2010-11-16
1467760264 Dawn M. Willard Nurse Practitioner 9280 W Sunset Rd, Suite 312, Las Vegas, NV 89148 2010-09-15
1497066062 Thyroid & Diabetes Specialists of Las Vegas, Nakhle, M.d., Pllc Internal Medicine 9280 W Sunset Rd, Suite 306, Las Vegas, NV 89148-4860 2010-06-29
1639408297 Nisarg J Changawala Internal Medicine 9280 W Sunset Rd, Suite 312, Las Vegas, NV 89148 2009-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293777 Miguel Angel Umpierre Technician 9889 Overlook Ridge Ave, Las Vegas, NV 89148 2020-10-21
1689280588 Santos Nunez Technician 7950 Mcginnis Ave, Las Vegas, NV 89148 2020-09-17
1861007734 Daniel D Forro Occupational Therapist 10164 Phelps Lake Ct, Las Vegas, NV 89148 2020-09-08
1568098309 Moinca R Ponce Dentist 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 2020-03-12
1689214876 Mama Dukes Healthcare Services LLC Rehabilitation Counselor 9908 Masterpeice Drive, Las Vegas, NV 89148 2020-01-15
1720621865 Building Hope Nevada Community/Behavioral Health 8936 Spanish Ridge, Las Vegas, NV 89148 2019-10-22
1790343721 Maretes Godinez Case Manager/Care Coordinator 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 2019-06-04
1295393601 United Medical Group Pllc Pharmacist 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 2019-05-31
1609358886 Jdr Dermatology Research, LLC. Dermatology 9080 W Post Rd Ste 100, Las Vegas, NV 89148 2018-09-04
1902393929 Hogue Healing Health and Hope, Pllc Dba H3, Pllc Social Worker 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 2018-04-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1891396651 Alma F Talavera Nurse Practitioner 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 2020-11-06
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Competitor

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City LAS VEGAS
Zip Code 89148

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Dataset Information

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.

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