JESSICA L GDOVIN (NPI# 1528078912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528078912 |
Entity Type | Individual |
Full Name | JESSICA L GDOVIN |
Other Name | JESSICA L CONTE |
Credential | PA-C |
Practice Address |
100 N Green Valley Pkwy Suite #345 Henderson NV 89074-6391 |
Practice Telephone | 7022600600 |
Practice Fax Number | 7022604444 |
Mailing Telephone | 7022600600 |
Mailing Fax Number | 7022604444 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2015-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA769 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA769 | NV | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
PA769 | NV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 N GREEN VALLEY PKWY SUITE #345 |
City | HENDERSON |
State | NV |
Zip Code | 89074-6391 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366446189 | Parkway Surgery Center, LLC. | Clinic/Center | 100 N Green Valley Pkwy, Ste 125, Henderson, NV 89074-6392 | 2005-06-09 |
1205285285 | Pat Escamis | Nurse Practitioner | 100 N Green Valley Pkwy, Suite 239, Henderson, NV 89074-6391 | 2016-06-09 |
1922491505 | Parkway Recovery Care Center, LLC | Nursing Facility/Intermediate Care Facility | 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 | 2015-03-06 |
1184901944 | Parkway Imaging Center, LLC | Clinic/Center | 100 N Green Valley Pkwy, 130, Henderson, NV 89074-6391 | 2011-11-08 |
1972732451 | Jenny Hernandez | Nutritionist | 100 N Green Valley Pkwy, Suite 340, Henderson, NV 89074-6391 | 2009-07-06 |
1205088895 | Allan Jordan | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-15 |
1326290016 | Bryan Barnard | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-14 |
1366643553 | Sylvia C Averitt | Nurse Practitioner | 100 N Green Valley Pkwy, Ste 345, Henderson, NV 89074-7705 | 2007-05-29 |
1124234927 | Connie L Knapp | Nurse Practitioner | 100 N Green Valley Pkwy, #345, Henderson, NV 89074 | 2007-05-16 |
1699988055 | M Paul Singh Md Prof Corp | Internal Medicine | 100 N Green Valley Pkwy, # 110, Henderson, NV 89074-6391 | 2007-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
Find all providers in zip 89074 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
1285057562 | Elena Zalan | Physician Assistant | 75 S Valle Verde Dr, Suite 100, Henderson, NV 89012-3462 | 2014-01-22 |
1760557151 | Leda W.z. Edwards | Physician Assistant | 6301 Mountain Vista, Suite #205, Henderson, NV 89014 | 2006-11-21 |
1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
1750997078 | Els Dauven | Physician Assistant | 10950 S Eastern Ave Ste 100, Henderson, NV 89052-4971 | 2020-09-22 |
1952926297 | Dana Shepherd | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2020-06-12 |
1861957722 | Michaela R Parrish | Physician Assistant | 1621 Front St, Henderson, NE 68371-8902 | 2019-02-05 |
1770056566 | Justin Peter Spangler | Physician Assistant | 2900 N Green Valley Pkwy, Henderson, NV 89014-0410 | 2019-01-04 |
1396217493 | Audrey N Darreguet | Physician Assistant | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2018-12-30 |
1871082511 | Robert Wimmer | Physician Assistant | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2018-05-08 |
Find all providers in HENDERSON |
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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.