SHAWN HUMPHREYS (NPI# 1386241131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386241131 |
| Entity Type | Individual |
| Full Name | SHAWN HUMPHREYS |
| Practice Address |
3110 W Cheyenne Ave Ste 100 North Las Vegas NV 89032-2254 |
| Practice Telephone | 7026368729 |
| Practice Fax Number | 7024411808 |
| Mailing Telephone | 7026368729 |
| Mailing Fax Number | 7024411808 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3110 W CHEYENNE AVE STE 100 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020947 | Pathways Health Services | Community/Behavioral Health | 5813 Michael Dean St, North Las Vegas, NV 89081-4422 | 2020-10-13 |
| 1013514165 | Grateful Guidance Center | Community/Behavioral Health | 1838 Giant Rock Pl, North Las Vegas, NV 89031-1671 | 2020-10-01 |
| 1447861919 | A Step Above Mental Health Services LLC | Community/Behavioral Health | 4325 W Rome Blvd Apt 1018, North Las Vegas, NV 89084-2112 | 2020-08-10 |
| 1023628047 | Essential Mindz, LLC | Community/Behavioral Health | 5546 Camino Al Norte Ste 2-304, North Las Vegas, NV 89031-0805 | 2020-08-04 |
| 1558985432 | 4 Lucky Charms LLC | Community/Behavioral Health | 4224 Seclusion Bay Ave, North Las Vegas, NV 89081-6867 | 2020-06-05 |
| 1952936296 | All Around Change LLC | Community/Behavioral Health | 2124 Leatherbridge Ct, North Las Vegas, NV 89081-3500 | 2020-03-06 |
| 1457985962 | Khalifah Holdings Incorporated | Community/Behavioral Health | 2616 Losee Rd Ste 11, North Las Vegas, NV 89030-4128 | 2020-02-24 |
| 1366075798 | We R Family, LLC | Community/Behavioral Health | 2312 Seco Adobe Cir Apt B, North Las Vegas, NV 89030-8182 | 2020-02-13 |
| 1497397301 | Press On LLC | Community/Behavioral Health | 5712 Saint Elias St, North Las Vegas, NV 89081-2427 | 2019-10-11 |
| 1114575156 | A Home for You LLC | Community/Behavioral Health | 3208 Cedar Point Way, North Las Vegas, NV 89031-0360 | 2019-09-03 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on SHAWN HUMPHREYS.
| 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.