SAMANTHA OKUMURA


Address: 701 E Bridger Ave Ste 150, Las Vegas, NV 89101
Phone: 7023085870

SAMANTHA OKUMURA (NPI# 1053880831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053880831
Entity Type Individual
Full Name SAMANTHA OKUMURA
Practice Address 701 E Bridger Ave Ste 150
Las Vegas
NV 89101
Mailing Address 701 E Bridger Ave Ste 150
Las Vegas
NV 89101-8954
Practice Telephone 7023085870
Mailing Telephone 7023085870
Enumeration Date 2018-11-21
Last Update Date 2019-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255R0406X Specialist/Technologist
Specialization: Rehabilitation, Blind
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
900 Karen Ave Ste A116, Las Vegas, NV 891095214 9256676143

Office Location

Street Address 701 E BRIDGER AVE STE 150
City LAS VEGAS
State NV
Zip Code 89101

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1598311862 Catalina Ruiz-perez Technician 1420 James St., L, Las Vegas, NV 89101 2019-08-13
1447752860 Ratref T Havlin Technician 1820 East Bonanza Apt 1, Las Veges, NV 89101 2018-03-01
1396255808 David Markus Stevens Technician/Technologist 930 N. 4th Street, Las Vegas, NV 89101 2017-10-10
1447789888 Dustin Douglas Driver 50 N 21 St #139, Las Vegas, NV 89101 2017-06-08
1013389535 Direct Scripts Mail, LLC Pharmacy 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 2015-10-23
1699169920 Westcare Nevada Inc Community/Behavioral Health 323 N Maryland Parkway, Las Vegas, NV 89101 2015-03-25
1639574262 Misty Davis Registered Nurse 930 N. 4th St., Las Vegas, NV 89101 2014-10-24
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Taxonomy Information

Taxonomy Code 2255R0406X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Rehabilitation, Blind

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518485077 Megan Elizabeth Theuerkauf Specialist/Technologist 6900 Pecos Rd, North Las Vegas, NV 89086-4400 2017-09-05
1497027767 Susan Marie Marshall Specialist/Technologist 6900 Pecos Rd, North Las Vegas, NV 89086-4400 2012-02-02

Competitor

Search similar providers

City LAS VEGAS
Zip Code 89101

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Dataset Information

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.

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