REBECCA T CHURCH (NPI# 1952653123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952653123 |
| Entity Type | Individual |
| Full Name | REBECCA T CHURCH |
| Credential | APN |
| Practice Address |
10001 S Eastern Ave Ste 101 Henderson NV 89052-3908 |
| Mailing Address |
2865 Siena Heights Dr Ste 300 Henderson NV 89052-4171 |
| Practice Telephone | 7026165801 |
| Mailing Telephone | 7026165786 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN001438 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953996 | Rebecca Church | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2018-12-16 |
| 1982033395 | Rebecca D Church | Physician Assistant | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-11-06 |
| 1972719201 | Rebecca G. Church | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2007-05-15 |
| Street Address |
10001 S EASTERN AVE STE 101 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093823577 | Celeste Caronia Atkinson | Internal Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2006-08-26 |
| 1437682333 | Jason Lao | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2017-04-06 |
| 1699217232 | Tran Lyons | Nurse Practitioner | 10001 S Eastern Ave Ste 101, Henderson, NV 89052 | 2016-11-14 |
| 1386099703 | Sangouk Lee | Internal Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2016-05-04 |
| 1083024194 | Michelle Alicia Mark | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2014-04-29 |
| 1831483213 | Anthony Robert Dicamillo | Psychiatry & Neurology | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2011-06-03 |
| 1306070552 | Mandy Yvonne Buttrum | Family Medicine | 10001 S Eastern Ave Ste 101, Henderson, NV 89052 | 2009-05-02 |
| 1033353032 | Emily K Peterson | Pediatrics | 10001 S Eastern Ave Ste 101, Henderson, NV 89052-3908 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1124446943 | Jean Stevenson | Nurse Practitioner | 1001 Las Palmas Entrada Ave, Apt. 2909, Henderson, NV 89012-4486 | 2014-03-29 |
| 1952917833 | Kimberly Alison-maribbay Badiola | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2020-09-16 |
| 1386260792 | Anew Family Medical Pllc | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2020-06-22 |
| 1346866019 | Tri-star Primary Care LLC | Nurse Practitioner | 10624 S Eastern Ave Ste H, Henderson, NV 89052-2983 | 2020-06-18 |
| 1588288617 | Sierra Wellness LLC | Nurse Practitioner | 1694 Wicklow Way, Henderson, NV 89014-6048 | 2020-06-04 |
| 1346887809 | Jessica Annekathleen Miller | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2019-12-04 |
| 1083190789 | Vitalina Adamchevska | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2018-07-16 |
| 1528563467 | Ronald Reny Dampog | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-03-23 |
| 1366943227 | Casa Medical Hospitalist LLC | Nurse Practitioner | 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | 2018-02-26 |
| Find all providers in HENDERSON | ||||
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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.