DEMISSIE H SOLOMON (NPI# 1548765167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548765167 |
Entity Type | Individual |
Full Name | DEMISSIE H SOLOMON |
Practice Address |
1000 S Rainbow Blvd Las Vegas NV 89145 |
Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
Practice Telephone | 7024794881 |
Practice Fax Number | 7029668662 |
Mailing Telephone | 7022163346 |
Mailing Fax Number | 7026716883 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-08-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
APRN002862 | NV | Nursing Service Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN002862 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | STATE LICENSE | APRN002862 | 01 |
NV | 1548765167 | 05 |
Street Address |
1000 S RAINBOW BLVD |
City | LAS VEGAS |
State | NV |
Zip Code | 89145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639172448 | Marcelino Cucio Belizario | Internal Medicine | 1000 S Rainbow Blvd, Ste. A, Las Vegas, NV 89145-6231 | 2005-05-24 |
1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
1407313935 | Adriana Nurkiewicz | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-02-20 |
1942775796 | Michelle S. Celeste I | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2018-10-08 |
1033613203 | Carol Ann Krisan M Arenas | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145 | 2018-03-21 |
1700302445 | Rosette Sandrine Makon | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-08-15 |
1578004024 | Ladonna Michelle Mills | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-03-16 |
1194264689 | Shane A Durham | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2017-02-16 |
1164967162 | Christopher M. Misa | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2016-12-29 |
1508314246 | Humana Pharmacy Inc | Pharmacy | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2016-09-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
Find all providers in zip 89145 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
1285600502 | Tia B Hudon | Nurse Practitioner | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2006-02-27 |
1568469773 | Aloycha Li De La Roche | Nurse Practitioner | 6100 Iron Kettle St, Las Vegas, NV 89130-1065 | 2005-07-01 |
1588263248 | Makon Amazing Gifted Hands Pllc | Nurse Practitioner | 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 | 2020-10-22 |
1578171864 | Iliana Britt | Nurse Practitioner | 2968 E Russell Rd, Las Vegas, NV 89120-2453 | 2020-07-22 |
1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
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.