KHARISMA PRIDGON (NPI# 1043865108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043865108 |
| Entity Type | Individual |
| Full Name | KHARISMA PRIDGON |
| Practice Address |
410 S Rampart Blvd Ste 347 Las Vegas NV 89145-5726 |
| Practice Telephone | 7252513737 |
| Practice Fax Number | 7252515797 |
| Mailing Telephone | 7252513737 |
| Mailing Fax Number | 7252515797 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | NV | Nursing Service Related Providers | |
| N | 372600000X | Adult Companion | NV | Nursing Service Related Providers | |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NV | Nursing Service Related Providers | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | NV | Nursing Service Related Providers |
| Street Address |
410 S RAMPART BLVD STE 347 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1578117370 | Peggy Neal | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-07-30 |
| 1447803481 | Dinay Alvarez De Lopez | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-07-18 |
| 1790337087 | Brandi Toi Lynn Ellison | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-07-16 |
| 1043878085 | Renee Johnson | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-06-04 |
| 1679130637 | Loren Polo | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-05-24 |
| 1871150128 | Lidia Ramirez | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-05-22 |
| 1730746348 | Joinese Victor | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-05-20 |
| 1003472960 | Claudine Merino | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-05-16 |
| 1043876923 | Monica Delight Chenevert | Chore Provider | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145-5726 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| 1083922850 | Shawntavia Shawnta Hill | Behavioral Analyst | 7200 Pirates, #2031, Las Vegas, NV 89145 | 2010-09-15 |
| Find all providers in zip 89145 | ||||
| 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.