MRS. TICEY RENE HARRIS (NPI# 1093115461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093115461 |
| Entity Type | Individual |
| Full Name | MRS. TICEY RENE HARRIS |
| Credential | APRN |
| Practice Address |
3186 S Maryland Pkwy Las Vegas NV 89109-2317 |
| Mailing Address |
1142 Spottswoode St Henderson NV 89002-3387 |
| Practice Telephone | 7023545032 |
| Mailing Telephone | 7023545032 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN001849 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3186 S MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056928 | Kathleen Patricia Gates | Pediatrics | 3186 S Maryland Pkwy, Children's Administration, Las Vegas, NV 89109-2317 | 2005-07-08 |
| 1770109548 | Semhar Isaak Tsegai | Nurse Practitioner | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-06-17 |
| 1760001747 | Mercy Air Service, Inc. | Ambulance | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-04-10 |
| 1225662125 | Erin Paige Knudson | Emergency Medicine | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-02-28 |
| 1932732633 | Loida Loyola Arquiza | Nurse Practitioner | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-02-20 |
| 1578195707 | Bradley K Guion | Physician Assistant | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2020-02-05 |
| 1528607413 | Nechelle F. Cabrera | Nurse Practitioner | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2019-12-25 |
| 1578100434 | Julie Alisha Mooney | Physician Assistant | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2019-12-10 |
| 1255977260 | Christiana Kachala | Physician Assistant | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2019-11-25 |
| 1457997793 | Sharon Del Rosario | Physician Assistant | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2019-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002907 | Faith Iseh | Nurse Practitioner | 10470 W Cheyenne Ave Ste 115 Pmb 311, Las Vegas, NV 89129-8733 | 2020-10-29 |
| 1861009664 | Gregory Lawrence Walker II | Nurse Practitioner | 7600 S Rainbow Blvd Apt 2044, Las Vegas, NV 89139-5493 | 2020-09-25 |
| 1427682061 | Sarah C Day | Nurse Practitioner | 11024 Salernes St, Las Vegas, NV 89141-3811 | 2020-02-22 |
| 1265082895 | Sofia Gates | Nurse Practitioner | 7346 Emerald Glow St, Las Vegas, NV 89123-1303 | 2019-09-16 |
| 1619448289 | Wayne Seare | Nurse Practitioner | 275 Calvino Ave, Las Vegas, NV 89183-5602 | 2018-12-07 |
| 1669968681 | Jasmine Jac LLC | Nurse Practitioner | 169 Short Ruff Way, Las Vegas, NV 89148-5259 | 2018-07-02 |
| 1598203978 | Kazakk LLC | Nurse Practitioner | 7866 W Sahara Ave, Las Vegas, NV 89117-1944 | 2017-02-06 |
| 1821545559 | Saradamani Chinnaswamy | Nurse Practitioner | 6960 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128-3204 | 2016-09-11 |
| 1285098053 | Aileen Thompson | Nurse Practitioner | 7712 Crenshaw Way, Las Vegas, NV 89129-5496 | 2016-04-07 |
| 1164888327 | Helen Jane Maxine Ballert | Nurse Practitioner | 1955 Festival Plaza Dr Ste 180, Las Vegas, NV 89135-2900 | 2016-01-04 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MRS. TICEY RENE HARRIS.
| 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.