SIERRA WELLNESS LLC (NPI# 1588288617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588288617 |
| Entity Type | Organization |
| Organization Name | SIERRA WELLNESS LLC |
| Practice Address |
1694 Wicklow Way Henderson NV 89014-6048 |
| Practice Telephone | 7024460399 |
| Practice Fax Number | 7252515211 |
| Mailing Telephone | 5135454745 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | SHAWNNA M SHORT (OWNER) |
| Authorized Official Telephone | 5135454745 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1694 WICKLOW WAY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962715946 | Shawnna Maria Short | Registered Nurse | 1694 Wicklow Way, Henderson, NV 89014-6048 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1124446943 | Jean Stevenson | Nurse Practitioner | 1001 Las Palmas Entrada Ave, Apt. 2909, Henderson, NV 89012-4486 | 2014-03-29 |
| 1952917833 | Kimberly Alison-maribbay Badiola | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2020-09-16 |
| 1386260792 | Anew Family Medical Pllc | Nurse Practitioner | 111 Front St, Henderson, TN 38340-2313 | 2020-06-22 |
| 1346866019 | Tri-star Primary Care LLC | Nurse Practitioner | 10624 S Eastern Ave Ste H, Henderson, NV 89052-2983 | 2020-06-18 |
| 1346887809 | Jessica Annekathleen Miller | Nurse Practitioner | 291 N Pecos Rd, Henderson, NV 89074-1918 | 2019-12-04 |
| 1083190789 | Vitalina Adamchevska | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2018-07-16 |
| 1528563467 | Ronald Reny Dampog | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2018-03-23 |
| 1366943227 | Casa Medical Hospitalist LLC | Nurse Practitioner | 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | 2018-02-26 |
| 1609394840 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-09-08 |
| Find all providers in HENDERSON | ||||
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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.