THERESA MONDGOCK (NPI# 1891100145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891100145 |
| Entity Type | Individual |
| Full Name | THERESA MONDGOCK |
| Practice Address |
2280 E Calvada Blvd Ste 301 Pahrump NV 89048-5877 |
| Practice Telephone | 7757515211 |
| Mailing Telephone | 7757515211 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| 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 |
| Street Address |
2280 E CALVADA BLVD STE 301 |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780237297 | Charissa Horton | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2019-07-23 |
| 1255822664 | David Ledbetter | Counselor | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2018-05-21 |
| 1487196382 | Nina Lomax | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2016-11-08 |
| 1457745804 | Rodgelynn Middleton | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2015-03-24 |
| 1750771267 | Nicole Erin Fisher | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2015-02-04 |
| 1386049393 | Darin Lee Cool | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2014-11-03 |
| 1699170720 | Hayley Mae Miner | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2014-10-31 |
| 1306241658 | Rikki Lamboy | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 301, Pahrump, NV 89048-5877 | 2014-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| 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 |
|---|---|---|---|---|
| 1235626094 | Dexter L Mcdonald Jr. | Rehabilitation Practitioner | 2280 E Calvada Blvd Ste 101, Pahrump, NV 89048-5846 | 2018-04-17 |
| 1417456781 | Sarah Oliver | Rehabilitation Practitioner | 2340 E Calvada Blvd Ste F, Pahrump, NV 89048-6099 | 2018-02-01 |
| 1194231902 | Abel Maldonado | Rehabilitation Practitioner | 3321 N David St, Pahrump, NV 89060-2410 | 2017-12-17 |
| 1154860260 | Shannon Sistrunk | Rehabilitation Practitioner | 1921 Anns Rd, Pahrump, NV 89048-4279 | 2017-02-22 |
| 1265975429 | Erica Johnston | Rehabilitation Practitioner | 1911 Mcmurray Dr, Pahrump, NV 89060 | 2016-11-21 |
| 1396196630 | Timothy Vanname | Rehabilitation Practitioner | 4697 S Adriano Way, Pahrump, NV 89061-7587 | 2016-06-28 |
| 1144684770 | Lisa Goins | Rehabilitation Practitioner | 1801 Irons, Pahrump, NV 89048-4581 | 2016-04-10 |
| 1205294436 | Guillermo Osiel Rodriguez Lopez | Rehabilitation Practitioner | 1140 Piltz Rd, Pahrump, NV 89060-4103 | 2016-02-02 |
| 1508235227 | Alan Rodriguez | Rehabilitation Practitioner | 3261 Paiute Blvd, Pahrump, NV 89061-8582 | 2015-09-23 |
| 1891182747 | Darrel Nolen | Rehabilitation Practitioner | 2530 Tough Boy Rd Spc 8, Pahrump, NV 89060-5208 | 2015-04-17 |
| Find all providers in PAHRUMP | ||||
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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.