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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TAPRN701205 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9280 W SUNSET RD SUITE 100 |
City | LAS VEGAS |
State | NV |
Zip Code | 89148 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 89148 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396651 | Alma F Talavera | Nurse Practitioner | 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 | 2020-11-06 |
1154922300 | Reynaly Campos | Nurse Practitioner | 10680 Spruce Bough St, Las Vegas, NV 89183-4631 | 2020-11-04 |
1811596463 | Carolina Salaberrios | Nurse Practitioner | 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 | 2020-10-23 |
1851990840 | John Marius Agravio Tolentino | Nurse Practitioner | 3557 Winter Wren St, Las Vegas, NV 89122-3539 | 2020-10-21 |
1811596760 | Emmelyn Pineda Rivas | Nurse Practitioner | 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 | 2020-10-21 |
1659979052 | Francis Torres | Nurse Practitioner | 10010 Fort Pike St, Las Vegas, NV 89178-7543 | 2020-10-16 |
1144828849 | Julio Arvie Mata Madarazo Jr. | Nurse Practitioner | 6284 Canvasback Ave, Las Vegas, NV 89122-3545 | 2020-10-14 |
1104424076 | Khelsey Macaspac | Nurse Practitioner | 6446 Dunns River St, Las Vegas, NV 89166-8064 | 2020-10-13 |
1912505199 | Angelica Villahermosa | Nurse Practitioner | 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 | 2020-10-11 |
1467050625 | Ruby Borja | Nurse Practitioner | 7329 Perkins Hill St, Las Vegas, NV 89166-6505 | 2020-10-10 |
Find all providers in LAS VEGAS |
Please comment or provide details below to improve the information on SHANNON KAY SOUTHWICK.
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.