JACQUELINE TAYLOR (NPI# 1932670858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932670858 |
| Entity Type | Individual |
| Full Name | JACQUELINE TAYLOR |
| Practice Address |
6725 S Eastern Ave Las Vegas NV 89119-3948 |
| Practice Telephone | 7023316200 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1114424272 | Jacqueline Marie Taylor | Counselor | 1769 E Moody Blvd, Bunnell, FL 32110-6355 | 2018-04-06 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1972586113 | Jacqueline L Taylor | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-11-22 |
| 1053951624 | Jacqueline Taylor | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-13 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1962927764 | Jacqueline Elaine Taylor | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2017-08-14 |
| 1780034967 | Jacqueline Taylor | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-17 |
| Street Address |
6725 S EASTERN AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609891514 | Hadiza Hamza | Internal Medicine | 6725 S Eastern Ave, Suite 3, Las Vegas, NV 89119-3948 | 2006-07-12 |
| 1275134645 | Toalima Tretiak Ili | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-11-03 |
| 1578164893 | Nancy Bangura | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-11-03 |
| 1174123095 | Michelle Nash | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-10-29 |
| 1821695412 | Elena Resgonia | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-10-06 |
| 1487251286 | Corina Reyna | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-10-05 |
| 1326655184 | Manuel Berumen-vargas | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-09-25 |
| 1790392512 | Rashida Garcia | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-09-25 |
| 1003420969 | Reyna Alvarez | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-09-08 |
| 1316551724 | Karina Robles | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 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 |
| Find all providers in LAS VEGAS | ||||
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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.