JACQUELINE PHILLIPS (NPI# 1619525268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619525268 |
| Entity Type | Individual |
| Full Name | JACQUELINE PHILLIPS |
| Practice Address |
2595 S Cimarron Rd Ste 107 Las Vegas NV 89117-2697 |
| Mailing Address |
264 Via Contata St Henderson NV 89074-1415 |
| Practice Telephone | 7023285679 |
| Mailing Telephone | 7023285679 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN19485 | NV | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1083191738 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609269158 | Jacqueline Eileen Phillips | Nurse Practitioner | 1624 Library Ln Ste C, Minden, NV 89423-4476 | 2015-03-09 |
| 1396144598 | Jacqueline Phillips | Specialist/Technologist | 5485 Mcginnis Ct, Doylestown, PA 18902-1371 | 2014-08-14 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 1053861344 | Jacqueline Joy Phillips | Specialist | 561 Route 9w, Piermont, NY 10968-1116 | 2016-10-11 |
| 1730532276 | Jacqueline Phillips | Pharmacist | 118 Choctaw Dr, Hendersonville, TN 37075-4642 | 2016-07-20 |
| 1356741706 | Jacqueline Elise Marie Phillips | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-09-03 |
| 1073912895 | Jacqueline Phillips | Specialist/Technologist | 1216 Ordean Ct, 170 Sports & Health Center, Duluth, MN 55812-3032 | 2014-08-18 |
| 1508107459 | Jacqueline Rene Phillips | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Suite 110, Las Vegas, NV 89128-0811 | 2013-03-01 |
| 1811204928 | Jacqueline Marie Phillips | Internal Medicine | 1533 S Brownlee Blvd, Ste 100, Corpus Christi, TX 78404-3131 | 2010-09-10 |
| Street Address |
2595 S CIMARRON RD STE 107 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89117-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191738 | A Royal Behavioral Agency LLC | Community/Behavioral Health | 2595 S Cimarron Rd Ste 107, Las Vegas, NV 89117-2697 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
| 1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
| 1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
| 1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
| 1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
| 1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
| 1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| Find all providers in zip 89117 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393567 | Hana Leigh Swartzentruber | Registered Nurse | 10448 Camp Rock Ct, Las Vegas, NV 89178-4039 | 2020-10-14 |
| 1023625688 | Jerri L Bracey | Registered Nurse | 10058 Cloud Break St, Las Vegas, NV 89178-2902 | 2020-09-28 |
| 1780292011 | Ting Ting Hsieh Kinser | Registered Nurse | 8101 Lake Hills Dr, Las Vegas, NV 89128-7088 | 2020-07-22 |
| 1578189361 | Mackenzie Johnson | Registered Nurse | 5100 Autumn Meadow Ave, Las Vegas, NV 89130-7007 | 2020-06-18 |
| 1912529421 | Debbie Dios | Registered Nurse | 2755 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3690 | 2020-05-07 |
| 1275153884 | Roscelle Minoza | Registered Nurse | 9836 Curtsy Ave, Las Vegas, NV 89148-5528 | 2020-04-23 |
| 1871146258 | Megan Manasco | Registered Nurse | 2656 N Buffalo Dr Unit 1436, Las Vegas, NV 89128-4814 | 2019-07-24 |
| 1699333682 | Lalaine Villahermosa | Registered Nurse | 1775 E Tropicana Ave Ste 16-17, Las Vegas, NV 89119-6529 | 2019-06-04 |
| 1962960294 | Maria Virginia Madera | Registered Nurse | 6070 S Fort Apache Rd Ste 110, Las Vegas, NV 89148-5615 | 2019-03-05 |
| 1952874588 | Michelle Sue Sadler | Registered Nurse | 5468 Valensole Ave, Las Vegas, NV 89141-3819 | 2019-01-07 |
| 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.