KENYATTA D WEATHERSBY (NPI# 1538669635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538669635 |
| Entity Type | Individual |
| Full Name | KENYATTA D WEATHERSBY |
| Practice Address |
3925 N. Martin Luther King Blvd Ste 211 N. Las Vegas NV 89301 |
| Practice Telephone | 9092694906 |
| Mailing Telephone | 9092694906 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | NV | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3925 N. MARTIN LUTHER KING BLVD STE 211 |
| City | N. LAS VEGAS |
| State | NV |
| Zip Code | 89301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114185 | Taadhimeka J Ray | Community/Behavioral Health | 3925 N. Martin Luther King Blvd, 211, N. Las Vegas, NV 89302 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650722 | Srs-ely LLC | Clinic/Center | 701 East 15th Street, Ely, NV 89301 | 2013-11-19 |
| 1538419650 | Sanderling Renal Services-usa, LLC | Clinic/Center | 701 East 15th St, Ely, NV 89301 | 2012-09-17 |
| 1003942707 | Kent M Robertson Od Inc | Optometrist | 409 Murry St, Ely, NV 89301 | 2007-02-26 |
| 1356442651 | Jeffrey B Willes | Chiropractor | 664 14th Street East, Ely, NV 89301 | 2006-09-26 |
| 1295773752 | Aerocare, Inc. | Durable Medical Equipment & Medical Supplies | 802 Avenue E Ste 124&6, Ely, NV 89301 | 2006-06-04 |
| 1548217409 | Ely Shoshone Tribe | Clinic/Center | 400 Newe View, Ely, NV 89301 | 2006-05-27 |
| 1437145422 | William Bee Ririe Hospital | Emergency Medicine | 6 Steptoe Circle, Ely, NV 89301 | 2005-09-23 |
| 1225430861 | Amy Sue Barney | Nurse Practitioner | 6 Steptoe Circle, Ely, NV 89301 | 2014-09-25 |
| 1114238540 | David Byun | Internal Medicine | 1500 Avenue H, Ely, NV 89301 | 2010-06-30 |
| 1669519906 | Arthur Marshall Olson | Pharmacist | 504 Aultman Street, Ely, NV 89301-1553 | 2007-01-30 |
| Find all providers in zip 89301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114185 | Taadhimeka J Ray | Community/Behavioral Health | 3925 N. Martin Luther King Blvd, 211, N. Las Vegas, NV 89302 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1881294932 | Jahir Treyvont Anderson | Community/Behavioral Health | 2163 Denevi Dr, Sparks, NV 89434-3457 | 2020-10-28 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1043819006 | Battle Born Wellness, LLC | Community/Behavioral Health | 3732 Lakeside Dr Ste 202, Reno, NV 89509-5278 | 2020-10-21 |
| 1164020947 | Pathways Health Services | Community/Behavioral Health | 5813 Michael Dean St, North Las Vegas, NV 89081-4422 | 2020-10-13 |
| 1386241131 | Shawn Humphreys | Community/Behavioral Health | 3110 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-2254 | 2020-10-05 |
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1013514165 | Grateful Guidance Center | Community/Behavioral Health | 1838 Giant Rock Pl, North Las Vegas, NV 89031-1671 | 2020-10-01 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | N. LAS VEGAS |
| Zip Code | 89301 |
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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.