JILL AZEVEDO (NPI# 1891396628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891396628 |
| Entity Type | Individual |
| Full Name | JILL AZEVEDO |
| Practice Address |
6300 Black Mesa Ct Las Vegas NV 89142-7919 |
| Mailing Address |
410 S Rampart Blvd Ste 390 Las Vegas NV 89145-5749 |
| Practice Telephone | 7756821280 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
6300 BLACK MESA CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89142-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473051 | Elia Reyes | Technician | 5208 Blossom Ave, Las Vegas, NV 89142 | 2020-06-30 |
| 1851932644 | Bernardita Katang Byrd | Technician | 6527 Firstview Ave, Las Vegas, NV 89142 | 2019-10-02 |
| 1730739517 | Michelle Hundley | Technician | 1482 S Phyllis St, Las Vegas, NV 89142 | 2019-09-13 |
| 1619485208 | Alxenia P Brown-gay | Technician | 5150 Spyglass St., Apt. 257, Las Vegas, NV 89142 | 2018-01-17 |
| 1861868374 | Yanet San Pedro Avile | Rehabilitation Practitioner | 5306 Sandstone, Las Vegas, NV 89142 | 2015-08-19 |
| 1174911820 | Jennifer Nguyen Vo | Pharmacist | 5011 East Sahara Ave, Las Vegas, NV 89142 | 2015-01-05 |
| 1003024605 | Neighborhood Dental | Clinic/Center | 5061 E. Sahara Ave Ste 1a, Las Vegas, NV 89142 | 2007-05-18 |
| 1962499384 | Rachel A Mcconnell | Obstetrics & Gynecology | 653 Town Center Dr, 206, Las Vegas, NV 89142 | 2005-09-30 |
| 1578039947 | Duniet J Bonachea Hernandez | Technician | 1330 Amapola Dr, Las Vegas, NV 89142-0101 | 2018-10-23 |
| 1255620795 | Rosa Villarreal | Rehabilitation Practitioner | 5740 Blossom View Ave, Las Vegas, NV 89142-0108 | 2011-04-05 |
| Find all providers in zip 89142 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| 1912505843 | Myrna Tuason | Technician | 3601 E Wyoming Ave, Las Vegas, NV 89104-4919 | 2020-10-13 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on JILL AZEVEDO.
| 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.