JACQUELINE A LOPEZ (NPI# 1619578861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619578861 |
| Entity Type | Individual |
| Full Name | JACQUELINE A LOPEZ |
| Practice Address |
2961 E Serene Ave Henderson NV 89074-6507 |
| Practice Telephone | 7029484848 |
| Practice Fax Number | 7029484845 |
| Mailing Telephone | 7029484848 |
| Mailing Fax Number | 7029484845 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407356900 | Jacqueline Lopez | Midwife | 2467 Beaver Dr, Gillette, WY 82718-5618 | 2018-02-20 |
| 1740667336 | Jacqueline Lopez | Dietitian, Registered | 2811 Glen Hollow Dr, Mckinney, TX 75070-7107 | 2015-05-03 |
| 1932593795 | Jacqueline Lopez | Specialist | 2895 Noel Ct, Wantagh, NY 11793-2317 | 2015-03-19 |
| 1518211093 | Jacqueline V Lopez | Dentist | 8608 Foothill Blvd, 118, Sunland, CA 91040-1963 | 2012-11-05 |
| 1437305026 | Jacqueline Marie Lopez | Family Medicine | 499 H St, Chula Vista, CA 91910-4307 | 2008-08-14 |
| 1548879323 | Jacqueline Lopez | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2020-07-28 |
| 1316583487 | Jacqueline Lopez | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-11-22 |
| 1669021788 | Jacqueline Noemi Lopez | Social Worker | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2019-09-11 |
| 1710452123 | Jacqueline Lopez | Occupational Therapist | 4007 Tieton Dr, Yakima, WA 98908-3345 | 2018-10-11 |
| 1851897052 | Jacqueline Lopez | Behavioral Analyst | 6416 Nw 5th Way, Fort Lauderdale, FL 33309-6112 | 2018-04-05 |
| Street Address |
2961 E SERENE AVE |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083830277 | At Home Solutions | In Home Supportive Care | 2961 E Serene Ave, Henderson, NV 89074 | 2007-04-17 |
| 1033717137 | Lloyd C Morris | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-10-12 |
| 1912513052 | Vanessa Huerta Bucio | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-09-22 |
| 1154934107 | Rhea Sotto Soriano | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-08-28 |
| 1912519257 | Yolanda Joson Svoboda | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-08-18 |
| 1972113991 | Edwin G Vasquez | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-08-04 |
| 1689292922 | Ivette Cruz | Homemaker | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2020-07-13 |
| 1073159265 | Charlie Medrano Manzano Iv | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2019-11-21 |
| 1205470234 | Carrie Jean White | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2019-11-02 |
| 1215588637 | Rosario Manuel Vizcarra | Technician | 2961 E Serene Ave, Henderson, NV 89074-6507 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343109 | Stephanie Nicole Baird | Technician | 11073 Crab Creek Rd, Henderson, WV 25106-9732 | 2020-10-14 |
| 1134726953 | Susan Warmuth | Technician | 584 Sellers Pl, Henderson, NV 89011-5373 | 2020-10-05 |
| 1093312894 | Triscion Watkins | Technician | 111 W Victory Rd, Henderson, NV 89015-7022 | 2020-10-05 |
| 1346847167 | Maximillian Crawford | Technician | 2577 Woodson Ave, Henderson, NV 89052-6489 | 2020-10-05 |
| 1932706736 | Madonna Abad | Technician | 3618 Via Messina, Henderson, NV 89052-1504 | 2020-10-05 |
| 1801401476 | Martin Flores | Technician | 916 Serpent Rose Ct, Henderson, NV 89052-8657 | 2020-09-10 |
| 1578177655 | Vanquisha L Mckie | Technician | 1030 Center St Apt 3i, Henderson, NV 89015-6301 | 2020-09-04 |
| 1225642739 | Roger Anthony | Technician | 227 W Pacific Ave, Henderson, NV 89015-7378 | 2020-09-02 |
| 1053925578 | Andrea Day | Technician | 301 Taylor St Apt 1624, Henderson, NV 89015-5429 | 2020-09-02 |
| 1366056897 | Alicia Vinculado | Technician | 2570 W Horizon Ridge Pkwy, Henderson, NV 89052-5618 | 2020-09-02 |
| 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.