TIMOTHY WATHEN (NPI# 1396160347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396160347 |
| Entity Type | Individual |
| Full Name | TIMOTHY WATHEN |
| Credential | RN |
| Practice Address |
6161 W Charleston Blvd Bldg 1 Las Vegas NV 89146-1126 |
| Practice Telephone | 7024866054 |
| Practice Fax Number | 7024860417 |
| Mailing Telephone | 7024866054 |
| Mailing Fax Number | 7024860417 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN25241 | NV | Nursing Service Providers |
| Street Address |
6161 W CHARLESTON BLVD BLDG 1 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891756920 | State of Nevada | Psychiatric Hospital | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2006-03-29 |
| 1265055222 | John Potter | Counselor | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-05-26 |
| 1174165021 | Liza Anne Lara | Social Worker | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2019-10-11 |
| 1407357114 | Joann Mundin | Psychiatry & Neurology | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2018-02-27 |
| 1316345788 | Alma Bautista Manlangit | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-12-16 |
| 1770997926 | Sean Elder | Specialist/Technologist, Other | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-06-16 |
| 1649684028 | Christopher Fyfe | Psychologist | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-06-13 |
| 1770995656 | Brooks One Recovery Services | Nurse Practitioner | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-05-27 |
| 1770903437 | Michael Cooper | Social Worker | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-04-21 |
| 1033533872 | Acel Carlos | Registered Nurse | 6161 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2014-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393567 | Hana Leigh Swartzentruber | Registered Nurse | 10448 Camp Rock Ct, Las Vegas, NV 89178-4039 | 2020-10-14 |
| 1023625688 | Jerri L Bracey | Registered Nurse | 10058 Cloud Break St, Las Vegas, NV 89178-2902 | 2020-09-28 |
| 1780292011 | Ting Ting Hsieh Kinser | Registered Nurse | 8101 Lake Hills Dr, Las Vegas, NV 89128-7088 | 2020-07-22 |
| 1578189361 | Mackenzie Johnson | Registered Nurse | 5100 Autumn Meadow Ave, Las Vegas, NV 89130-7007 | 2020-06-18 |
| 1912529421 | Debbie Dios | Registered Nurse | 2755 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3690 | 2020-05-07 |
| 1275153884 | Roscelle Minoza | Registered Nurse | 9836 Curtsy Ave, Las Vegas, NV 89148-5528 | 2020-04-23 |
| 1871146258 | Megan Manasco | Registered Nurse | 2656 N Buffalo Dr Unit 1436, Las Vegas, NV 89128-4814 | 2019-07-24 |
| 1699333682 | Lalaine Villahermosa | Registered Nurse | 1775 E Tropicana Ave Ste 16-17, Las Vegas, NV 89119-6529 | 2019-06-04 |
| 1962960294 | Maria Virginia Madera | Registered Nurse | 6070 S Fort Apache Rd Ste 110, Las Vegas, NV 89148-5615 | 2019-03-05 |
| 1952874588 | Michelle Sue Sadler | Registered Nurse | 5468 Valensole Ave, Las Vegas, NV 89141-3819 | 2019-01-07 |
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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.