MS. SHANNON LEE LATHAM (NPI# 1467912386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467912386 |
Entity Type | Individual |
Full Name | MS. SHANNON LEE LATHAM |
Credential | APRN, FNP-C |
Practice Address |
801 S Rancho Dr Ste F1 Las Vegas NV 89106-3814 |
Mailing Address |
1022 Shades End Ave North Las Vegas NV 89081-3316 |
Practice Telephone | 7024744454 |
Practice Fax Number | 7024744424 |
Mailing Telephone | 7029083943 |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
816577 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
801 S RANCHO DR STE F1 |
City | LAS VEGAS |
State | NV |
Zip Code | 89106-3814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
Find all providers in zip 89106 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1730713611 | Saint Jude Medical Group LLC Home Doctors | Nurse Practitioner | 4412 W Charleston Blvd Ste B, Las Vegas, NV 89102-1636 | 2020-02-28 |
1184274037 | Jocybel Itorralba | Nurse Practitioner | 2440 Professional Ct Ste 110, Las Vegas, NV 89128-0839 | 2019-09-12 |
1679121958 | Priority Health System LLC | Nurse Practitioner | 2655 S Rainbow Blvd Ste 410, Las Vegas, NV 89146-5100 | 2019-08-29 |
1386205052 | Rhia Joy Lumanog Dizon | Nurse Practitioner | 7003 Tidelands Park Ct, Las Vegas, NV 89166-7132 | 2019-06-24 |
1184284283 | Brianemmanuel Amat Del Rosario | Nurse Practitioner | 7350 W Centennial Pkwy Unit 2008, Las Vegas, NV 89131-1646 | 2019-06-19 |
1013484096 | Riza Barraquias Leong | Nurse Practitioner | 5537 Silent Springs Dr, Las Vegas, NV 89122-8661 | 2018-10-29 |
1962984823 | Candace Lawhorn-williams | Nurse Practitioner | 10848 Wallflower Ave, Las Vegas, NV 89135-2862 | 2018-09-06 |
Find all providers in LAS VEGAS |
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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.