JESSICA DAWN HARTY (NPI# 1588105530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588105530 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN HARTY |
| Other Name | JESSICA DAWN MCCLEESE |
| Practice Address |
6299 Tillman Crest Ave Las Vegas NV 89139-6868 |
| Practice Telephone | 7022739890 |
| Mailing Telephone | 7022739890 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 1604003533 | NV | Other Service Providers |
| Street Address |
6299 TILLMAN CREST AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139-6868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585999 | Perseverance Community Services LLC | Community/Behavioral Health | 6299 Tillman Crest Ave, Las Vegas, NV 89139-6868 | 2020-07-22 |
| 1073121455 | Kiyonna Irene Cole | Behavioral Analyst | 6299 Tillman Crest Ave, Las Vegas, NV 89139-6868 | 2020-07-21 |
| 1790322196 | Family Centers of Nevada LLC | Community/Behavioral Health | 6299 Tillman Crest Ave, Las Vegas, NV 89139-6868 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593940 | Ronald Parker | Prevention Professional | 499 Sierra Vista Dr Apt 6, Las Vegas, NV 89169-2754 | 2019-08-09 |
| 1902451792 | Jacqueline Hendricks | Prevention Professional | 4525 Dean Martin Dr Unit 501, Las Vegas, NV 89103-8107 | 2019-08-07 |
| 1780120642 | Stacey Dillree | Prevention Professional | 2800 W Sahara Ave Ste 8b-c, Las Vegas, NV 89102-4390 | 2017-01-16 |
| 1710593223 | Changing Lives LLC | Prevention Professional | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611304 | Life Changes, Inc. | Prevention Professional | 1195 Kings Row, Reno, NV 89503-3524 | 2020-02-21 |
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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.