RAY CLARK (NPI# 1871941104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871941104 |
| Entity Type | Individual |
| Full Name | RAY CLARK |
| Practice Address |
5420 W Sahara Ave #101 Las Vegas NV 89146-0394 |
| Practice Telephone | 7028827827 |
| Mailing Telephone | 7028827827 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265579742 | Ray Nelson Clark | Pharmacist | 9501 E Shea Blvd, Mc 028, Scottsdale, AZ 85260 | 2007-01-31 |
| 1780803023 | Ray Howard Clark | Internal Medicine | 1100 E Michigan Ave, Jackson, MI 49201-1847 | 2007-04-25 |
| Street Address |
5420 W SAHARA AVE #101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-0394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457555997 | Ann Marie Colin | Counselor | 5420 W Sahara Ave, Suite 201, Las Vegas, NV 89146-0394 | 2007-06-11 |
| 1932647807 | Regina Littlefield | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2017-02-10 |
| 1720524051 | Jami Pavicic | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2017-01-10 |
| 1750827069 | Valeria Rivera | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2017-01-10 |
| 1588116719 | Haley Shackelford | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2016-11-04 |
| 1144779190 | Long Dang Tran | Home Health | 5420 W Sahara Ave, Suite 102.7, Las Vegas, NV 89146-0394 | 2016-09-30 |
| 1174072474 | Sabrina Colson | Rehabilitation Practitioner | 5420 W Sahara Ave, Ste 101, Las Vegas, NV 89146-0394 | 2016-09-27 |
| 1144779448 | Sheldon Smith | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2016-09-27 |
| 1548719842 | Valeria Ayala | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2016-09-27 |
| 1417406729 | Lorie Simpson | Rehabilitation Practitioner | 5420 W Sahara Ave, #101, Las Vegas, NV 89146-0394 | 2016-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
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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.