SHANE A DURHAM


Address: 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231
Phone: 7024794881

SHANE A DURHAM (NPI# 1194264689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194264689
Entity Type Individual
Full Name SHANE A DURHAM
Credential NP-C
Practice Address 1000 S Rainbow Blvd
Las Vegas
NV 89145-6231
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7024794881
Practice Fax Number 7029668662
Mailing Telephone 7022163346
Mailing Fax Number 7026716883
Enumeration Date 2017-02-16
Last Update Date 2020-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN002474 NV Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN002474 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1194264689 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3841 W Charleston Blvd Ste 203, Las Vegas, NV 891021858 7028484443 7028050299

Office Location

Street Address 1000 S RAINBOW BLVD
City LAS VEGAS
State NV
Zip Code 89145-6231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639172448 Marcelino Cucio Belizario Internal Medicine 1000 S Rainbow Blvd, Ste. A, Las Vegas, NV 89145-6231 2005-05-24
1689216434 Luis Rodriguez Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2019-10-14
1407313935 Adriana Nurkiewicz Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2019-02-20
1942775796 Michelle S. Celeste I Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2018-10-08
1548765167 Demissie H Solomon Registered Nurse 1000 S Rainbow Blvd, Las Vegas, NV 89145 2018-03-26
1033613203 Carol Ann Krisan M Arenas Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145 2018-03-21
1700302445 Rosette Sandrine Makon Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2017-08-15
1578004024 Ladonna Michelle Mills Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2017-03-16
1164967162 Christopher M. Misa Nurse Practitioner 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2016-12-29
1508314246 Humana Pharmacy Inc Pharmacy 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 2016-09-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881292381 Chs Caring Providers Nurse Practitioner 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 2020-10-15
1376157628 Elizabeth Diana Moura Nurse Practitioner 8044 Farthings Hill Dr, Las Vegas, NV 89166-3701 2020-09-03
1639782493 4 Life Mental and Wellness Health Nurse Practitioner 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 2020-08-30
1861018236 Kikina Wong Nurse Practitioner 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 2020-06-22
1306462742 Total Care Medical Group LLC Nurse Practitioner 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 2020-06-22
1588286124 Simrit Kaur Saraon Msn Pllc Nurse Practitioner 4604 Erin Glen St, Las Vegas, NV 89147-7253 2020-05-16
1730709577 Michelle Cappatocio Nurse Practitioner 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 2020-04-22
1992338800 Kristen E Anderson Nurse Practitioner 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 2020-02-19
1275172173 Joan Lou Paras Nakar Nurse Practitioner 9793 Dakota Creek Ct, Las Vegas, NV 89141 2019-12-26
1972149102 Mobile Medical Group LLC Nurse Practitioner 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 2019-11-22
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Competitor

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City LAS VEGAS
Zip Code 89145

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Dataset Information

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.

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