ANDREA R BERGQUIST (NPI# 1285912683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285912683 |
Entity Type | Individual |
Full Name | ANDREA R BERGQUIST |
Practice Address |
1154 Paradise Safari Dr Henderson NV 89002-8935 |
Mailing Address |
4760 S Pecos Rd Las Vegas NV 89121-6038 |
Practice Telephone | 7027430980 |
Mailing Telephone | 7026012697 |
Enumeration Date | 2011-08-02 |
Last Update Date | 2019-10-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 103K00000X | Behavioral Analyst | NV | Behavioral Health & Social Service Providers |
Street Address |
1154 PARADISE SAFARI DR |
City | HENDERSON |
State | NV |
Zip Code | 89002-8935 |
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 | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
1891345526 | Blake Anthony Spataro | Rehabilitation Practitioner | 1925 Davina St, Henderson, NV 89074-1034 | 2019-09-15 |
1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
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.