DR. MANDY LYNN OLCOTT (NPI# 1528222072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528222072 |
Entity Type | Individual |
Full Name | DR. MANDY LYNN OLCOTT |
Credential | DPM |
Practice Address |
6955 N Durango Dr Suite 1115-237 Las Vegas NV 89149-4411 |
Practice Telephone | 9174457321 |
Mailing Telephone | 9174457321 |
Enumeration Date | 2008-07-14 |
Last Update Date | 2009-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0804 | NV | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | RAILROAD MEDICARE | P00733933 | 01 |
Street Address |
6955 N DURANGO DR SUITE 1115-237 |
City | LAS VEGAS |
State | NV |
Zip Code | 89149-4411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
1215406947 | River Rehab, LLC | Physical Therapist | 6955 N Durango Dr, Ste 1115, #248, Las Vegas, NV 89149 | 2018-11-26 |
1174925820 | Jimmie Board | Behavioral Analyst | 6955 N Durango Dr, Las Vegas, NV 89149-4411 | 2014-09-24 |
1285998567 | Stephanie Lizana | Rehabilitation Practitioner | 6955 N Durango Dr, #1109, Las Vegas, NV 89149-4411 | 2012-07-01 |
1215297056 | Lynne Larene Jasames | Rehabilitation Practitioner | 6955 N Durango Dr, 1115-224, Las Vegas, NV 89149-4411 | 2012-05-28 |
1639231954 | Restorative Medicine LLC | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2006-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
Find all providers in zip 89149 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720635535 | Usa Resources | Podiatrist | 2701 N Tenaya Way Ste 230, Las Vegas, NV 89128-0480 | 2019-08-26 |
1225569528 | Sun City Medical Center Pllc | Podiatrist | 9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862 | 2017-03-27 |
1518316819 | Aniela Cordoba | Podiatrist | 3320 N Buffalo Dr Ste 107, Las Vegas, NV 89129-7410 | 2016-06-07 |
1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
1033593843 | Nahad Wassel | Podiatrist | 3662 E Sunset Rd Ste 115, Las Vegas, NV 89120-7224 | 2015-07-13 |
1912329202 | Allcare Foot and Ankle Clinic | Podiatrist | 7350 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-7445 | 2014-01-06 |
1417392481 | Benjamin Heber Bauer | Podiatrist | 3777 Pecos Mcleod Ste 103, Las Vegas, NV 89121-4265 | 2013-05-06 |
1588951834 | Christina Louise Hulsebos | Podiatrist | 1850 E Sahara Ave Ste 202, Las Vegas, NV 89104-3746 | 2011-07-07 |
1871889824 | Conan R Parke | Podiatrist | 2641 Box Canyon Dr Ste A, Las Vegas, NV 89128-0423 | 2011-06-28 |
1508158536 | Sunrise Foot and Ankle LLC | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-05-10 |
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.