DR. JACQUELINE B PANISH (NPI# 1124194154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124194154 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE B PANISH |
| Credential | PH.D. |
| Practice Address |
2560 Montessouri St Suite #112 Las Vegas NV 89117-3061 |
| Practice Telephone | 7023969000 |
| Practice Fax Number | 7023683009 |
| Mailing Telephone | 7023969000 |
| Mailing Fax Number | 7023683009 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0461 | NV | Behavioral Health & Social Service Providers |
| Street Address |
2560 MONTESSOURI ST SUITE #112 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907432 | Anja Schumacher | Speech-Language Pathologist | 2560 Montessouri St, Las Vegas, NV 89117-3061 | 2020-06-18 |
| 1760858351 | Shannon Evans | Speech-Language Pathologist | 2560 Montessouri St, Suite 113, Las Vegas, NV 89117-3061 | 2015-08-18 |
| 1356765515 | James Calvin Ayres | Rehabilitation Practitioner | 2560 Montessouri St, Suite 207, Las Vegas, NV 89117-3061 | 2014-02-08 |
| 1225476062 | Amy Lapres Occupational Therapist | Occupational Therapist | 2560 Montessouri St, Suite 113, Las Vegas, NV 89117-3061 | 2013-06-13 |
| 1023456910 | Leanne Wright Ltd | Speech-Language Pathologist | 2560 Montessouri St, Suite 113, Las Vegas, NV 89117-3061 | 2013-06-12 |
| 1427300557 | Allison Mcmahon | Rehabilitation Practitioner | 2560 Montessouri St, Suite 207, Las Vegas, NV 89117-3061 | 2012-10-13 |
| 1598061715 | Jacob R Boyd | Rehabilitation Practitioner | 2560 Montessouri St, Suite 207, Las Vegas, NV 89117-3061 | 2011-02-04 |
| 1336459023 | Danielle Nicole Larios | Rehabilitation Practitioner | 2560 Montessouri St, Suite 207, Las Vegas, NV 89117-3061 | 2010-10-14 |
| 1083922082 | Elizabeth Erin Redlinger | Dentist | 2560 Montessouri St, Ste. 109, Las Vegas, NV 89117-3061 | 2010-09-24 |
| 1235446451 | Rachael Ann Riegert | Rehabilitation Practitioner | 2560 Montessouri St, Suite 207, Las Vegas, NV 89117-3061 | 2010-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
| 1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
| 1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
| 1609358472 | Helping Heart LLC | Psychologist | 2855 W Pebble Rd Unit 303, Las Vegas, NV 89123-6504 | 2018-08-29 |
| 1285148890 | Amanda Devillez | Psychologist | 5550 W Flamingo Rd Ste B, Las Vegas, NV 89103-2334 | 2017-11-20 |
| 1699169318 | Rosalie Adriano | Psychologist | 7761 Tattersall Flag St, Las Vegas, NV 89139-6406 | 2015-03-19 |
| 1538566377 | Jennifer D Karmely Ph D, Pllc | Psychologist | 3196 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2315 | 2014-11-21 |
| 1740610278 | Brian Potts | Psychologist | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2013-11-19 |
| 1417200262 | Stephanie A Stowman, Phd | Psychologist | 4055 Spencer St, Suite 126, Las Vegas, NV 89119-9303 | 2012-10-17 |
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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.