MR. NICHOLAS BROWN DYCHES (NPI# 1528604758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528604758 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS BROWN DYCHES |
| Credential | NRP, FP-C, SO-ATP |
| Practice Address |
4700 Las Vegas Blvd N Bldg 1300 Las Vegas NV 89191-6600 |
| Mailing Address |
1421 Airport Rd Ste 100 Boulder City NV 89005-3659 |
| Practice Telephone | 7022285643 |
| Mailing Telephone | 7022285643 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
4700 LAS VEGAS BLVD N BLDG 1300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643749 | Danielle Dawn Acacio | Family Medicine | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2020-03-04 |
| 1831686369 | Laurie Meagan Wallace | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2018-04-19 |
| 1598262339 | Adam Michael Biwer | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2018-04-09 |
| 1265946743 | Kendra C Staflin | Physician Assistant | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2017-11-20 |
| 1154598910 | Nanci A Quinn | Registered Nurse | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2008-05-12 |
| 1639139090 | Jennifer Vecchione | Physical Therapist | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2006-03-27 |
| 1679550057 | Richard A Leff | Internal Medicine | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, Nv 89191-6601, Las Vegas, NV 89191-6600 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
| 1518483320 | Jessica Ann Ewers | Military Health Care Provider | 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 | 2017-08-15 |
| 1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1346483500 | Brandy R Williams | Military Health Care Provider | 9303 Gilcrease Ave, Unit 1207, Las Vegas, NV 89149-0199 | 2009-04-16 |
| 1235637000 | Jeffrey Allen Villalpando | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2018-01-26 |
| 1598190878 | Jonathan Christian Gomez | Military Health Care Provider | 4311 Carswell Ave, Bldg 340, Las Vegas, NV 89191-7069 | 2013-09-05 |
| 1043554462 | Ryan Mosiah King | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2012-11-26 |
| 1588914295 | Jill S Dowd | Military Health Care Provider | 4700 North Las Vegas Blvd, Las Vegas, NV 89115 | 2012-09-11 |
| 1518197078 | Tanya Lane Hatfield | Military Health Care Provider | 811 Grier Dr, Suite B, Las Vegas, NV 89119-3704 | 2009-07-19 |
| 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.