CANDACE JORGENSEN (NPI# 1205462991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205462991 |
Entity Type | Individual |
Full Name | CANDACE JORGENSEN |
Practice Address |
1161 S Valley View Blvd Las Vegas NV 89102-1854 |
Practice Telephone | 7024867670 |
Mailing Telephone | 7024867670 |
Enumeration Date | 2020-03-13 |
Last Update Date | 2020-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
922445 | NV | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 922445 | 05 |
Street Address |
1161 S VALLEY VIEW BLVD |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-1854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396831152 | State of Nevada | Case Management | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2006-10-05 |
1659906360 | Shirley Ann Farkas | Dietitian, Registered | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2020-03-03 |
1871132456 | Nevada Early Intervention Services | Early Intervention Provider Agency | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2019-12-31 |
1780223362 | Nevada Early Intervention Services | Early Intervention Provider Agency | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2019-12-31 |
1669956041 | James T Ahlstrom | Physical Therapist | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2018-09-20 |
1619459948 | Alexandra J Gurton | Physical Therapist | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2018-09-04 |
1891220919 | Luigi John Sperduti | Behavior Technician | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2017-04-26 |
1447798350 | Jessica Estrada | Behavior Technician | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2017-02-10 |
1922546266 | Sara Green | Behavior Technician | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2017-02-07 |
1659817526 | Raeanne Nelson | Behavior Technician | 1161 S Valley View Blvd, Las Vegas, NV 89102-1854 | 2017-01-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629695465 | Casey Kwan Hou | Dietitian, Registered | 1420 Foothills Village Dr, Henderson, NV 89012-7265 | 2020-06-27 |
1215221726 | Lindsey Mcbride | Dietitian, Registered | 2630 Keystone Ave, Reno, NV 89503-1359 | 2011-06-01 |
1730667981 | Sarah Ann Williams | Dietitian, Registered | 901 E 2nd St, Reno, NV 89502-1175 | 2018-07-31 |
Please comment or provide details below to improve the information on CANDACE JORGENSEN.
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.