MRS. DIXIE STORY (NPI# 1265642359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265642359 |
| Entity Type | Individual |
| Full Name | MRS. DIXIE STORY |
| Credential | CM |
| Practice Address |
6103 Judson Ave Las Vegas NV 89156-5821 |
| Practice Telephone | 7024533299 |
| Practice Fax Number | 7024520384 |
| Mailing Telephone | 7024533299 |
| Mailing Fax Number | 7024520384 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | 602 | NV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PREFERRED PROVIDER ID # | 667411 | 01 |
| Street Address |
6103 JUDSON AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89156-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811478712 | Malaika Tamu Hadley Jaffe | Community Based Residential Treatment Facility, Mental Illness | 6644 Jordan River Dr, Las Vegas, NV 89156 | 2018-08-28 |
| 1760908719 | Together We Stand Behavioral Health | Behavioral Analyst | 2110 N Los Feliz St #2072, Las Vegas, NV 89156 | 2017-08-21 |
| 1720356736 | Lucia Carol Matthew | Counselor | 730 N Eastern Avenue, Suite 110, Family Guidance and Wellness Network, Las Vegas, NV 89156 | 2011-12-05 |
| 1033410261 | Henry Sylvester Ebron IIi | Rehabilitation Practitioner | 2110 Los Feliz St, 2083, Las Vegas, NV 89156 | 2010-11-04 |
| 1801196878 | Regina Jackson | Rehabilitation Practitioner | 5254 Paradise Skies Avenue, Las Vegas, NV 89156 | 2010-10-25 |
| 1780830828 | Chris Elaine L Mariano | Registered Nurse | 1972 Napoleon Dr, Las Vegas, NV 89156 | 2008-08-08 |
| 1114320983 | A Omega Dental, LLC | Dentist | 6775 E Lake Mead Blvd, Ste # B9 & B10, Las Vegas, NV 89156 | 2014-10-07 |
| 1437404233 | Christina Maynard | Rehabilitation Practitioner | 2065 Scanlon Ferry Ct Unit 103, Las Vegas, NV 89156-0122 | 2012-07-17 |
| 1851769236 | Michael Spiegelhauer | Behavioral Analyst | 6168 Bluehill Ave Unit 2, Las Vegas, NV 89156-0204 | 2015-09-02 |
| 1760036032 | Mario Henderson | Technician | 5450 E. Lake Mead Blvd, Building D Apt. 225, Las Vegas, NV 89156-0908 | 2019-07-25 |
| Find all providers in zip 89156 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962031013 | Kristin S Gray | Midwife, Lay | 240 Stormson Ct, Las Vegas, NV 89145-5132 | 2020-04-02 |
| 1396236394 | Emily Tuttle | Midwife, Lay | 979 Monte De Oro Ave, Las Vegas, NV 89183-4669 | 2018-05-24 |
| 1023364569 | Ruthann Devereaux | Midwife, Lay | 1267 Barnard Dr, Las Vegas, NV 89102-1803 | 2012-08-02 |
| 1619122801 | Kim Trower | Midwife, Lay | 6000 S Eastern Ave, Suite 9a, Las Vegas, NV 89119-3125 | 2008-12-01 |
| 1750588711 | Faith Hobby | Midwife, Lay | 6250 W Charleston Blvd, Ste 120 Box 106, Las Vegas, NV 89146-1177 | 2007-07-02 |
| 1558575084 | Corinne Flatt | Midwife, Lay | 1872 Cobra Ct, Las Vegas, NV 89142-1790 | 2007-05-10 |
| 1245866292 | Jillian Young | Midwife, Lay | 6290 S Pecos Rd Ste 400, Las Vegas, NV 89120-3225 | 2020-03-20 |
| 1699316356 | Ariel Lynne Williams | Midwife, Lay | 6290 S Pecos Rd Ste 400, Las Vegas, NV 89120-3225 | 2019-10-03 |
| 1245705219 | Jessica Lagor | Midwife, Lay | 979 Monte De Oro Ave, Las Vegas, NV 89183-4669 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958090 | Sara Rebecca Doppe | Midwife, Lay | 2791 Prince Ave. #611, Sandy Valley, NV 89019 | 2018-04-03 |
| 1225398712 | Magdalena Alvarez | Midwife, Lay | 2921 Crisp Wind Ct, North Las Vegas, NV 89030-4692 | 2012-05-18 |
| 1194938530 | Sandra Holihan | Midwife, Lay | 1580 Latigo Drive, Henderson, NV 89015 | 2007-05-08 |
Please comment or provide details below to improve the information on MRS. DIXIE STORY.
| 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.