LEIGH RICHARDS BOECKLE (NPI# 1508136375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508136375 |
Entity Type | Individual |
Full Name | LEIGH RICHARDS BOECKLE |
Other Name | LEIGH FARR RICHARDS |
Credential | PA-C |
Practice Address |
9033 W Sahara Ave Las Vegas NV 89117 |
Mailing Address |
2809 W Charleston Blvd Ste 150 Las Vegas NV 89102-1998 |
Practice Telephone | 7024769999 |
Practice Fax Number | 7029461343 |
Mailing Telephone | 7024769999 |
Mailing Fax Number | 7029461343 |
Enumeration Date | 2012-01-10 |
Last Update Date | 2019-07-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
301 N 200 E, Ste 2a, St George, UT 847703010 | 4356887246 | 4356881363 |
Street Address |
9033 W SAHARA AVE |
City | LAS VEGAS |
State | NV |
Zip Code | 89117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
Find all providers in zip 89117 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
1487949954 | Lila Raissi | Physician Assistant | 5701 W Charleston Blvd Ste 100, Las Vegas, NV 89146-1256 | 2011-06-13 |
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.