CHERYL BAKER BROUSSARD (NPI# 1649581083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649581083 |
| Entity Type | Individual |
| Full Name | CHERYL BAKER BROUSSARD |
| Credential | APN |
| Practice Address |
5320 S Rainbow Blvd Suite 282 Las Vegas NV 89118-1895 |
| Mailing Address |
6641 Canyon Cove Way Las Vegas NV 89108-5915 |
| Practice Telephone | 7027373808 |
| Practice Fax Number | 7027377364 |
| Mailing Telephone | 7026450223 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TAPN700609 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5320 S RAINBOW BLVD SUITE 282 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-1895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141837 | Stephen Kelly Montoya | Obstetrics & Gynecology | 5320 S Rainbow Blvd, Ste 182, Las Vegas, NV 89118-1895 | 2005-08-15 |
| 1023407848 | James Scott Arregui | Physician Assistant | 5320 S Rainbow Blvd, Ste 282, Las Vegas, NV 89118-1895 | 2015-01-16 |
| 1427472307 | Integramed Medical - King, LLC | Obstetrics & Gynecology | 5320 S Rainbow Blvd, Suite 300, Las Vegas, NV 89118-1895 | 2014-02-12 |
| 1164761334 | Jennifer Marie Spinato | Nurse Practitioner | 5320 S Rainbow Blvd, Las Vegas, NV 89118 | 2013-02-07 |
| 1598001786 | Vc Smith, J E Martin, Nancy Donahoe, Demetri K Mavroidis | General Acute Care Hospital | 5320 S Rainbow Blvd, Ste 282, Las Vegas, NV 89118-1895 | 2012-12-17 |
| 1659617850 | Maricel Olan-cabrera | Nurse Practitioner | 5320 S Rainbow Blvd, Ste 282, Las Vegas, NV 89118-1895 | 2012-12-17 |
| 1225306582 | Womens Specialty Care, Lllp | Non-Pharmacy Dispensing Site | 5320 S Rainbow Blvd, Suite 182, Las Vegas, NV 89118-1895 | 2011-12-01 |
| 1972787695 | Audie L Lee | Physician Assistant | 5320 S Rainbow Blvd, Las Vegas, NV 89118-1895 | 2007-12-18 |
| 1780884593 | Shawna Megan Kneesel | Obstetrics & Gynecology | 5320 S Rainbow Blvd, # 182, Las Vegas, NV 89118-1895 | 2007-07-19 |
| 1881805679 | Sher Institute for Reproductive Medicine Las Vegas Medical Group PC | Obstetrics & Gynecology | 5320 S Rainbow Blvd, Suite 300, Las Vegas, NV 89118-1840 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1144828849 | Julio Arvie Mata Madarazo Jr. | Nurse Practitioner | 6284 Canvasback Ave, Las Vegas, NV 89122-3545 | 2020-10-14 |
| 1104424076 | Khelsey Macaspac | Nurse Practitioner | 6446 Dunns River St, Las Vegas, NV 89166-8064 | 2020-10-13 |
| 1912505199 | Angelica Villahermosa | Nurse Practitioner | 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 | 2020-10-11 |
| 1467050625 | Ruby Borja | Nurse Practitioner | 7329 Perkins Hill St, Las Vegas, NV 89166-6505 | 2020-10-10 |
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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.