RANDI THREET (NPI# 1356642490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356642490 |
| Entity Type | Individual |
| Full Name | RANDI THREET |
| Credential | APN |
| Practice Address |
2847 Saint Rose Pkwy Ste 150 Henderson NV 89052-4845 |
| Practice Telephone | 7022487337 |
| Practice Fax Number | 7024785465 |
| Mailing Telephone | 7022487337 |
| Mailing Fax Number | 7024785465 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN001222 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2847 SAINT ROSE PKWY STE 150 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255516357 | Robert J Karl Md Ltd | Internal Medicine | 2847 Saint Rose Pkwy Ste 150, Henderson, NV 89052-4845 | 2008-01-08 |
| 1407314834 | Lauren Fergus | Nurse Practitioner | 2847 Saint Rose Pkwy Ste 150, Henderson, NV 89052-4845 | 2019-03-05 |
| 1326562166 | Abigail Christina L Leonoras | Nurse Practitioner | 2847 Saint Rose Pkwy Ste 150, Henderson, NV 89052-4845 | 2017-08-02 |
| 1487183257 | Catherine Wong | Nurse Practitioner | 2847 Saint Rose Pkwy Ste 150, Suite 150, Henderson, NV 89052-4845 | 2017-06-06 |
| 1982873360 | Angela Nicole Ortega-bermudez | Internal Medicine | 2847 Saint Rose Pkwy Ste 150, Suite 150, Henderson, NV 89052-4845 | 2008-02-29 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770637589 | Sharon Marie Shields | Nurse Practitioner | 110 3rd St Ste 180, Henderson, KY 42420-5808 | 2007-01-22 |
| 1306351952 | Elizabeth Carroll Wilkes | Nurse Practitioner | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2017-12-05 |
| 1598274151 | Dignity Health Medical Group Nevada LLC | Nurse Practitioner | 10001 S Eastern Ave Ste 209, Henderson, NV 89052-3908 | 2017-09-27 |
| 1427508449 | Nawal Qneibi | Nurse Practitioner | 2653 W Horizon Ridge Pkwy, #100, Henderson, NV 89052-2903 | 2016-10-13 |
| 1023409505 | Natalie Mason | Nurse Practitioner | 2350 W Horizon Ridge Pkwy, Henderson, NV 89052-5075 | 2015-02-05 |
| 1740613207 | Mary Leann Michelle Cathcart | Nurse Practitioner | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2013-08-19 |
| 1003159997 | Deaconess Clinic, Inc | Nurse Practitioner | 1035 N Elm St, Henderson, KY 42420-2712 | 2013-03-29 |
| 1174896609 | Crick and Fife, LLP | Nurse Practitioner | 110 3rd St Ste 180, Henderson, KY 42420-5808 | 2012-02-14 |
| 1497026132 | Kathryn Dru Greenwell Perkins | Nurse Practitioner | 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 | 2012-01-25 |
| 1437433000 | Nicole Danielle Bennett | Nurse Practitioner | 2510 W Horizon Ridge Pkwy, Suite 130, Henderson, NV 89052-1601 | 2011-09-30 |
| 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.