MRS. SALLY LEIBOLD (NPI# 1598276982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598276982 |
| Entity Type | Individual |
| Full Name | MRS. SALLY LEIBOLD |
| Other Name | MISS SALLY KAY |
| Credential | RN |
| Practice Address |
930 N 4th St Las Vegas NV 89101-1001 |
| Practice Telephone | 7023834044 |
| Mailing Telephone | 7023834044 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN50696 | NV | Nursing Service Providers |
| Street Address |
930 N 4TH ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669778213 | Andre Hughes | Rehabilitation Practitioner | 930 N 4th St, Las Vegas, NV 89101-1001 | 2011-01-31 |
| 1215448865 | Montanius Damond Chambers | Technician/Technologist | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-22 |
| 1851802524 | Dutchward N/a Major Jr. | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-20 |
| 1922519396 | Luther Kendrick | Case Manager/Care Coordinator | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-12 |
| 1154831659 | Ronnie Lincoln Johnson | Technician, Health Information | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-10 |
| 1093225583 | Latisha Neco Risper | Technician, Health Information | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-10 |
| 1780194373 | Jatreyllis Lavarous Mccloud | Licensed Practical Nurse | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| 1417467176 | Sabrina Perea | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| 1578073177 | Andre Hardin | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| 1174033757 | Katisha Brown | Behavior Technician | 930 N 4th St, Las Vegas, NV 89101-1001 | 2017-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602325 | Edina Boros | Registered Nurse | 4370 S Grand Canyon Dr Apt 1100, Las Vegas, NV 89147-7114 | 2017-11-07 |
| 1235668518 | Merle Ambray Go | Registered Nurse | 1055 E Flamingo Rd, Apt 224, Las Vegas, NV 89119 | 2017-06-08 |
| 1023544301 | Kellie Marsh | Registered Nurse | 7604 Cruz Bay Ct, Las Vegas, NV 89128-7282 | 2017-05-05 |
| 1730615097 | Erica Zara | Registered Nurse | 2555 Red Springs Dr, Las Vegas, NV 89135-1512 | 2017-05-05 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| 1750767695 | Linda Busell | Registered Nurse | 2508 Living Rock St, Las Vegas, NV 89106-1464 | 2015-08-03 |
| 1366831224 | Arthur Kime | Registered Nurse | 3940 Copper Glen St, Las Vegas, NV 89129-7875 | 2015-01-15 |
| 1225335888 | R.u.s.h. Organization | Registered Nurse | 6212 Camino De Rosa, Las Vegas, NV 89108 | 2011-02-17 |
| 1801062567 | Frances Boddie-small | Registered Nurse | 1785 E Sahara Ave Ste 145, Las Vegas, NV 89104-3713 | 2008-05-02 |
| 1033220355 | Marcia Hyatt Evans | Registered Nurse | 912 W Owens Ave, Las Vegas, NV 89106-2516 | 2006-08-31 |
| 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.