ALISSA LUCKE (NPI# 1275918161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275918161 |
| Entity Type | Individual |
| Full Name | ALISSA LUCKE |
| Practice Address |
522 E Lake Mead Pkwy Ste 5 Henderson NV 89015-5573 |
| Practice Telephone | 7024866720 |
| Practice Fax Number | 7024866741 |
| Mailing Telephone | 7024866720 |
| Mailing Fax Number | 7024866741 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
522 E LAKE MEAD PKWY STE 5 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-5573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740350859 | Lorraine Annette Tolbert Butler | Counselor | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2006-11-08 |
| 1093189326 | University of Nevada School of Medicine Multispecialty Group Practice | Counselor | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2015-11-24 |
| 1730251364 | Randall James Stiles | Psychologist | 522 E Lake Mead Pkwy Ste 5, Henderson, NV 89015-5573 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702255 | Jhani Harris | Case Manager/Care Coordinator | 111 S Gibson Rd Apt 12204, Henderson, NV 89012-0004 | 2019-07-21 |
| 1508356825 | Tameka Larente Harris | Case Manager/Care Coordinator | 116 W Basic Rd, Henderson, NV 89015-7319 | 2018-05-11 |
| 1598252181 | Nyana Clark | Case Manager/Care Coordinator | 8912 Monteloma Way, Henderson, NV 89074-6907 | 2018-04-18 |
| 1699279216 | Marissa Blodgett | Case Manager/Care Coordinator | 5927 Gentleslope St, Henderson, NV 89011-2235 | 2018-03-20 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457890782 | Louise L Cutler | Case Manager/Care Coordinator | 1001 Adobe Flat Dr, Henderson, NV 89011-1895 | 2017-02-20 |
| 1316498355 | Jody O'brien | Case Manager/Care Coordinator | 1044 Painted Daisy Ave, Henderson, NV 89074-8098 | 2016-10-14 |
| 1093179632 | Gina Christian | Case Manager/Care Coordinator | 1844 Bogey Way, Henderson, NV 89074-1727 | 2016-04-10 |
| 1073973517 | Melissa Quimby Weinrich | Case Manager/Care Coordinator | 2324 Thayer Ave, Henderson, NV 89074-5364 | 2016-02-25 |
| 1013337203 | Mckinzie Weiss | Case Manager/Care Coordinator | 31 Lowery St, Henderson, NV 89015-5335 | 2014-04-26 |
| 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.