BROOKE LAUREN COSSABOOM (NPI# 1194369710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194369710 |
| Entity Type | Individual |
| Full Name | BROOKE LAUREN COSSABOOM |
| Practice Address |
2185 Rio Rancho Pointe Pl Henderson NV 89002-8606 |
| Practice Telephone | 9515413359 |
| Mailing Telephone | 9515413359 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2185 RIO RANCHO POINTE PL |
| City | HENDERSON |
| State | NV |
| Zip Code | 89002-8606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982073532 | Therafun Therapy Services | Occupational Therapy Assistant | 177 Cobalt Sky, Henderson, NV 89002 | 2015-09-24 |
| 1396981437 | Nevada Senior Services Inc | Clinic/Center | 1201 Nevada State Drive, Henderson, NV 89002 | 2008-12-19 |
| 1700909975 | Robert Pham Dds A Professional Corp. | Dentist | 55 E. Horizon Ridge Pkwy., Ste 100, Henderson, NV 89002 | 2007-04-10 |
| 1265504161 | Joanne Anh Nguyen | Dentist | 70 E. Horizon Ridge Pkwy., Ste. 150, Henderson, NV 89002 | 2006-11-15 |
| 1285281063 | Luis Enrique Orozco-hernandez | Chore Provider | 70 E. Horizon Ridge Pkwy., Suite 100, Henderson, NV 89002 | 2019-08-26 |
| 1740312891 | James I Gibson Dds Ms PC | Dentist | 70 E Horizon Ridge Pkwy, 170, Henderson, NV 89002 | 2007-03-12 |
| 1710243993 | Alvin Nuestro Rocillo | Rehabilitation Practitioner | 93 Lovage St, Henderson, NV 89002-0507 | 2012-04-02 |
| 1841402682 | William Odonnell | Physical Therapist | 1081 Swinford Ct, Henderson, NV 89002-0510 | 2007-05-04 |
| 1558850842 | Excellence Home Care Solutions | In Home Supportive Care | 1230 Rose Quartz Rd, Henderson, NV 89002-0521 | 2018-05-02 |
| 1750512703 | Brady Nance | Dentist | 1114 Tuscan Sky Ln # 101, Henderson, NV 89002-0645 | 2009-08-06 |
| Find all providers in zip 89002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
| 1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
| 1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
| 1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
| 1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
| 1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
| 1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in HENDERSON | ||||
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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.