JAQUELINE R GREEN (NPI# 1144847708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144847708 |
| Entity Type | Individual |
| Full Name | JAQUELINE R GREEN |
| Other Name | MS. JAQUELINE R DA COSTA |
| Practice Address |
3067 E Warm Springs Rd Ste 100 Las Vegas NV 89120-3750 |
| Practice Telephone | 7022020000 |
| Mailing Telephone | 7022020000 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3067 E WARM SPRINGS RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982749289 | Stephanie B Holland | Psychologist | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2007-02-21 |
| 1366056277 | Leslie Nain Bautista | Student in an Organized Health Care Education/Training Program | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2020-09-08 |
| 1821609520 | Melina Yaraghchi | Counselor | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2020-08-14 |
| 1609415991 | Dr. Stephanie Holland Ltd | Psychologist | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2020-01-03 |
| 1508409954 | Odyssey Wellness Inc. | Psychologist | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2019-10-17 |
| 1871140657 | Michelle Adams | Student in an Organized Health Care Education/Training Program | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2019-08-26 |
| 1801443353 | Sherri Tschida | Student in an Organized Health Care Education/Training Program | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2019-08-20 |
| 1437617735 | Alexis Nicole Sliva | Psychologist | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2019-03-05 |
| 1811462435 | Denise Faye Krischke | Student in an Organized Health Care Education/Training Program | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2018-10-10 |
| 1174008908 | Courtney M Beard | Rehabilitation Counselor | 3067 E Warm Springs Rd Ste 100, Las Vegas, NV 89120-3750 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
| 1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
| 1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
| 1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
| 1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
| 1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
| 1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
| 1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
| 1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
| 1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
| Find all providers in LAS VEGAS | ||||
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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.