JIMMY CRUZA (NPI# 1063079234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063079234 |
Entity Type | Individual |
Full Name | JIMMY CRUZA |
Credential | FNP-C |
Practice Address |
2 S Maine Ave Bldg 102-54 Hawthorne NV 89415-9404 |
Mailing Address |
7113 Bluebird Wing St North Las Vegas NV 89084-4802 |
Practice Telephone | 7029812919 |
Mailing Telephone | 7029812919 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2020-10-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
821250 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | DEA | MC5656864 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2560 S Maryland Pkwy Ste 12, Las Vegas, NV 891091672 | 7022385229 | |
3450 W Cheyenne Ave, North Las Vegas, NV 890328222 | 7027793431 | 7027890717 |
7113 Bluebird Wing St, North Las Vegas, NV 890844802 | 7029812919 |
Street Address |
2 S MAINE AVE BLDG 102-54 |
City | HAWTHORNE |
State | NV |
Zip Code | 89415-9404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790324846 | Angela Lebleu | Behavior Technician | 203 C St, Hawthorne, NV 89415 | 2020-01-06 |
1710497920 | Claire Brillantes Espanol | Pharmacist | 1095 Hwy 95, Hawthorne, NV 89415 | 2017-10-03 |
1144692252 | Lakshmi Sriharsha Bingi | Pharmacist | Us-95, Safeway, Hawthorne, NV 89415 | 2015-10-28 |
1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
1033455407 | Wanda Nixon | Registered Nurse | 331 First Street, Hawthorne, NV 89415 | 2012-12-12 |
1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
1851423164 | Carson Urologists Ltd | Urology | 200 S A St, Hawthorne, NV 89415 | 2007-03-12 |
1225057250 | Safeway Inc | Durable Medical Equipment & Medical Supplies | Hwy 95 and Armory, Hawthorne, NV 89415 | 2006-07-19 |
1902854516 | County of Mineral | Ambulance | 418 Mineral Way, Hawthorne, NV 89415 | 2006-05-05 |
Find all providers in zip 89415 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
1093359192 | Amanda L Stowell | Nurse Practitioner | 4866 W 137th St, Hawthorne, CA 90250-6525 | 2019-10-31 |
1467008441 | Elizabeth Temitope Oluwole | Nurse Practitioner | 11823 Chanera Ave, Hawthorne, CA 90250-1825 | 2019-08-14 |
1033689344 | Gillian Louissaint | Nurse Practitioner | 112 Willow St, Hawthorne, FL 32640-5413 | 2018-11-29 |
1164936746 | Harmony Day Payzant | Nurse Practitioner | 13753 Cordary Ave, Hawthorne, CA 90250-7410 | 2017-11-19 |
1376056630 | Abiola Orkeh | Nurse Practitioner | 11725 Daleside Ave, Hawthorne, CA 90250-1924 | 2017-11-09 |
1548708852 | Christina Sauro | Nurse Practitioner | 7 N 16th St, Hawthorne, NJ 07506-3709 | 2017-02-07 |
1497202337 | Francesca Mephors | Nurse Practitioner | 13936 Lemoli Ave, Hawthorne, CA 90250-8854 | 2016-09-08 |
1881053593 | Ifeoma Stella Nweke | Nurse Practitioner | 11830 Acacia Ave Apt 1, Hawthorne, CA 90250-3000 | 2016-02-23 |
1487040622 | Anthony Anubalu | Nurse Practitioner | 13320 Doty Ave Apt 280, Hawthorne, CA 90250-6265 | 2015-04-14 |
Find all providers in HAWTHORNE |
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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.