DESERT NEUROLOGY ASSOCIATES, LLC (NPI# 1487926010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487926010 |
| Entity Type | Organization |
| Organization Name | DESERT NEUROLOGY ASSOCIATES, LLC |
| Other Organization Name | NICOLE F. THEUVENET, M.D. |
| Practice Address |
8490 S Eastern Ave Suite B-1 Las Vegas NV 89123-2805 |
| Practice Telephone | 7029330971 |
| Practice Fax Number | 7029330974 |
| Mailing Telephone | 7029330971 |
| Mailing Fax Number | 7029330974 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DR. NICOLE FRANCOISE THEUVENET (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7029330971 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
7846 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2019739 | 05 |
| Other Name | Type Code |
|---|---|
| NICOLE F. THEUVENET, M.D. | Doing Business As Name - Organization |
| Street Address |
8490 S EASTERN AVE SUITE B-1 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700194289 | Sonya Renee Ruiz | Dentist | 8490 S Eastern Ave, Las Vegas, NV 89123-2805 | 2010-09-19 |
| 1972917698 | Timothy P Reardon | Dentist | 8490 S Eastern Ave, Suite A, Las Vegas, NV 89123-2805 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760982367 | Centennial Neurology LLC | Psychiatry & Neurology | 7425 W Azure Dr Ste 150, Las Vegas, NV 89130-4425 | 2018-02-20 |
| 1457731242 | Janda, Mahajan & Balsiger Pllc | Psychiatry & Neurology | 2010 Wellness Way # 306, Las Vegas, NV 89106 | 2015-06-05 |
| 1184011330 | Eric Ryan Gutglueck | Psychiatry & Neurology | 7751 W Flamingo Rd A100, Las Vegas, NV 89147-4399 | 2015-04-24 |
| 1033532833 | Valencia Neurology PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd Ste 9, Box 467, Las Vegas, NV 89128-1000 | 2014-01-29 |
| 1760733414 | Arlyn Valencia Md PC | Psychiatry & Neurology | 7500 W Lake Mead Blvd # 9-467, Las Vegas, NV 89128-0297 | 2012-09-20 |
| 1740548866 | Brian Ahuja | Psychiatry & Neurology | 49 Alamere Falls Dr, Las Vegas, NV 89138-6155 | 2012-04-26 |
| 1972833440 | Juanidad Corporation | Psychiatry & Neurology | 209 Dalmatian Ln, Las Vegas, NV 89107-2304 | 2010-01-06 |
| 1942443072 | Carrie Michelle Hersh | Psychiatry & Neurology | 888 W Bonneville Avenue, Las Vegas, NV 89106 | 2009-04-20 |
| 1285894881 | Gerald Wayne Dunn | Psychiatry & Neurology | 10432 Profondo Ct, Las Vegas, NV 89135-2564 | 2008-06-17 |
| 1497924468 | Paul Harlan Janda | Psychiatry & Neurology | 2010 Wellness Way Ste 306, Las Vegas, NV 89106-4142 | 2008-02-25 |
| 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.