SERGIO PEREZ (NPI# 1336670058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336670058 |
| Entity Type | Individual |
| Full Name | SERGIO PEREZ |
| Practice Address |
12231 S Eastern Ave Ste 140 Henderson NV 89052-4415 |
| Practice Telephone | 7027423093 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275805798 | Sergio Xavier Perez Jr. | Physician Assistant | 3827 Relampago, San Antonio, TX 78223-4081 | 2012-01-30 |
| 1265652093 | Sergio A. Perez | Surgery | E11 Calle Laurel, Colinas De Guaynabo, Guaynabo, PR 00969-6209 | 2007-04-26 |
| 1952869000 | Sergio Perez | Registered Nurse | 2040 Babcock Rd Ste 304, San Antonio, TX 78229-4428 | 2019-03-07 |
| 1104311570 | Sergio Perez | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-06-27 |
| 1003300559 | Sergio Perez | Counselor | 4595 Lexington Ave, Jacksonville, FL 32210-2058 | 2018-06-19 |
| 1861832321 | Sergio Andres Perez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2013-06-28 |
| 1265877013 | Sergio Eli Perez | Student in an Organized Health Care Education/Training Program | 4190 City Ave, Philadelphia, PA 19131-1626 | 2013-05-07 |
| 1164490272 | Sergio Perez | Physician Assistant | 559 Vincent St, Peterson Afb, CO 80914-1540 | 2006-03-14 |
| 1780681585 | Sergio J. Perez | Internal Medicine | 3501 Cortez Rd W, Bradenton, FL 34210-3104 | 2005-07-07 |
| Street Address |
12231 S EASTERN AVE STE 140 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760769764 | Jennifer Dawn Karmely | Psychologist | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2011-11-04 |
| 1679009047 | Allison Guld | Case Manager/Care Coordinator | 12231 S Eastern Ave Ste 140, Henderson, NV 89052 | 2017-05-04 |
| 1568994382 | Annalise Pelayo | Behavioral Analyst | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2017-03-30 |
| 1275079303 | Heidi Thornhill | Community Health Worker | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2017-01-12 |
| 1366891087 | Christal Lockett | Community Health Worker | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2016-06-03 |
| 1740647064 | Charmalee Carver | Behavioral Analyst | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2016-01-16 |
| 1508241068 | Our Little World Treatment Center | Behavioral Analyst | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2015-07-27 |
| 1578948030 | Our Little World Treatment Center | Psychologist | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2015-07-27 |
| 1043695521 | Madyson Wier | Social Worker | 12231 S Eastern Ave Ste 140, Henderson, NV 89052 | 2015-07-24 |
| 1538543566 | Our Little World Treatment Center | Behavioral Analyst | 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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.