WELLNESS REJUVENATION CENTER (NPI# 1144728403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144728403 |
| Entity Type | Organization |
| Organization Name | WELLNESS REJUVENATION CENTER |
| Practice Address |
311 N Buffalo Dr Ste A Las Vegas NV 89145-0375 |
| Practice Telephone | 7024769700 |
| Practice Fax Number | 7024769138 |
| Mailing Telephone | 7024769700 |
| Mailing Fax Number | 7024769138 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | TASHI CAMPBELL (ADMIN) |
| Authorized Official Telephone | 7024769700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1681 W Horizon Ridge Pkwy, Henderson, NV 890123494 | 7024769700 |
| Street Address |
311 N BUFFALO DR STE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-0375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790078848 | Ruben Gerard Alexander | Anesthesiology | 311 N Buffalo Dr Ste A, Las Vegas, NV 89145-0375 | 2011-05-24 |
| 1932616190 | Trina Thompson | Nurse Practitioner | 311 N Buffalo Dr Ste A, Las Vegas, NV 89145-0375 | 2018-01-09 |
| 1306384086 | Shenakwa Hawkins | Nurse Practitioner | 311 N Buffalo Dr Ste A, Las Vegas, NV 89145-0375 | 2017-02-02 |
| 1912387432 | Center for Wellness and Pain Care of Las Vegas Inc | Chiropractor | 311 N Buffalo Dr Ste A, Las Vegas, NV 89145-0375 | 2015-06-01 |
| 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 |
| 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 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049375 | Care With Purpose Medical Center, LLC | Clinic/Center | 2580 N Rancho Dr Ste 103, Las Vegas, NV 89130-3361 | 2020-07-03 |
| 1932693447 | Western State Pain Institute | Clinic/Center | 3910 Pecos Mcleod Ste C100, Las Vegas, NV 89121-4304 | 2018-06-18 |
| 1306357199 | Braunstein Pllc | Clinic/Center | 5130 S Pecos Rd Ste 1a, Las Vegas, NV 89120-1248 | 2017-10-19 |
| 1376571331 | Pain Institute of Nevada, Inc. | Clinic/Center | 7065 W Ann Rd Ste 130-548, Las Vegas, NV 89130 | 2006-06-29 |
| 1023623949 | Western State Behavioral Health and Psychiatric Services | Clinic/Center | 3910 Pecos-mcleod Interconnect, B-100, Las Vegas, NV 89121 | 2020-09-09 |
| 1033776117 | Thomas Yee, M.d. P.C. | Clinic/Center | 1120 Shadow Ln, Las Vegas, NV 89102-2342 | 2019-05-23 |
| 1982052114 | Chambers Medical Group, Pllc | Clinic/Center | 3281 N Decatur Blvd, Ste 150, Las Vegas, NV 89130-3263 | 2016-05-27 |
| 1538531538 | Christopher Fisher Md LLC | Clinic/Center | 7140 Smoke Ranch Rd, Ste 150, Las Vegas, NV 89128-3157 | 2015-10-29 |
| 1063579803 | Steven V Kozmary Md LLC | Clinic/Center | 2851 El Camino Ave, Ste 101, Las Vegas, NV 89102 | 2007-01-02 |
| 1720098445 | Yun Szu Yeh M.d., Inc. | Clinic/Center | 4845 S Rainbow Blvd, Suite 401, Las Vegas, NV 89103-4916 | 2006-08-08 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on WELLNESS REJUVENATION CENTER.
| 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.