MS. SHANNON LESLEE ISOM (NPI# 1184846107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184846107 |
Entity Type | Individual |
Full Name | MS. SHANNON LESLEE ISOM |
Other Name | MS. SHANNON LESLEE ENCE |
Credential | RNCRD |
Practice Address |
6850 N Durango Dr Ste 301 Las Vegas NV 89149-4595 |
Mailing Address |
Po Box 33166 Las Vegas NV 89133-3166 |
Practice Telephone | 7026418500 |
Practice Fax Number | 7026418502 |
Mailing Telephone | 7026418500 |
Mailing Fax Number | 7026418502 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2013-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
RN13811 | NV | Dietary & Nutritional Service Providers |
N | 163W00000X | Registered Nurse | RN 13811 | NV | Nursing Service Providers |
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN13811 | NV | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | GROUP MEDICIAD | 100500484 | 01 |
NV | REGISTERED NURSE | RN13811 | 01 |
NV | CERTIFIED DIABETES EDUCAT | RDCDE | 01 |
Street Address |
6850 N DURANGO DR STE 301 |
City | LAS VEGAS |
State | NV |
Zip Code | 89149-4595 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710986997 | Tammy Rose Kelly | Obstetrics & Gynecology | 6850 N Durango Dr, Ste 310, Las Vegas, NV 89149-4595 | 2005-07-19 |
1356700843 | April Marie Grochowalski | Physician Assistant | 6850 N Durango Dr, Ste. 310, Las Vegas, NV 89149-4595 | 2016-02-12 |
1588042345 | Keshia Pickens | Physician Assistant | 6850 N Durango Dr, Suite 204, Las Vegas, NV 89149-4595 | 2015-05-13 |
1982002283 | Pk Bhatnagar Md, PC | Surgery | 6850 N Durango Dr, Suite 204, Las Vegas, NV 89149-4595 | 2014-12-18 |
1790199842 | Yee Advanced Orthopedics & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 6850 N Durango Dr, 218, Las Vegas, NV 89149-4595 | 2014-06-17 |
1982949939 | Bellevue Health Institute Inc | Clinic/Center | 6850 N Durango Dr, Suite 302, Las Vegas, NV 89149-4595 | 2012-12-03 |
1023372612 | Jose Rosas Bacala | Family Medicine | 6850 N Durango Dr, Suite 208, Las Vegas, NV 89149-4595 | 2012-06-27 |
1043508427 | Kwok Lun Wong | Family Medicine | 6850 N Durango Dr, #208, Las Vegas, NV 89149-4595 | 2011-07-19 |
1043506744 | Shirley Rodriguez | Family Medicine | 6850 N Durango Dr, Las Vegas, NV 89149-4595 | 2011-06-22 |
1760789481 | Santos Interventional Pain Medicine P.C. | Pain Medicine | 6850 N Durango Dr, Ste 312, Las Vegas, NV 89149-4595 | 2011-02-15 |
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1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
Find all providers in zip 89149 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164976049 | Kristina M Knutson | Registered Nurse | 4750 W Oakey Blvd, Suite 4c, Las Vegas, NV 89102-1535 | 2016-08-09 |
1306213681 | Robert Lopez | Registered Nurse | 2650 Lake Sahara Dr, Suite 100, Las Vegas, NV 89117-3437 | 2015-08-21 |
1528331063 | Shelley R Williams | Registered Nurse | 1707 W Charleston Blvd, Suite 200, Las Vegas, NV 89102-2351 | 2012-02-14 |
1710137864 | Tiffany Marie Paulsen | Registered Nurse | 4750 W Oakey Blvd, Las Vegas, NV 89102-1535 | 2008-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590365 | Comprehensive Diabetes Services | Registered Nurse | 514 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2019-10-23 |
1629323852 | Mary Katherine Diethrich | Registered Nurse | 2070 Severn Dr, Reno, NV 89503-2246 | 2012-07-13 |
1245853936 | Rachel Johnson | Registered Nurse | 171 Campbell Ln, Yerington, NV 89447-9768 | 2020-05-28 |
1487958005 | Jan Lienke Boyer | Registered Nurse | 239 Flora Dr, Spring Creek, NV 89815-5126 | 2010-12-23 |
1760567770 | Patricia Lynn Sicherman | Registered Nurse | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2006-10-26 |
Please comment or provide details below to improve the information on MS. SHANNON LESLEE ISOM.
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.