LIZBETH DE JESUS PEREZ DE LIZAMA (NPI# 1649826207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649826207 |
| Entity Type | Individual |
| Full Name | LIZBETH DE JESUS PEREZ DE LIZAMA |
| Practice Address |
4436 Fenton Ln North Las Vegas NV 89032-0141 |
| Practice Telephone | 7026376084 |
| Mailing Telephone | 7026376084 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
1401366259 | NV | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1401366259 | 05 |
| Street Address |
4436 FENTON LN |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-0141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| 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 |
|---|---|---|---|---|
| 1861093072 | Nakia T Newson | Technician | 3033 Little Crimson Ave, North Las Vegas, NV 89081-6584 | 2020-11-04 |
| 1972101673 | Yamileth Abicely Flores Molina | Technician | 4422 Scarlet Sea Ave, North Las Vegas, NV 89031-0454 | 2020-10-14 |
| 1942807714 | Mark Dela Vega | Technician | 2913 Vigilante Ct, North Las Vegas, NV 89081-6401 | 2020-10-05 |
| 1780295410 | Shanethia Mcneal | Technician | 5210 Rock Cabin Ct, North Las Vegas, NV 89031-3422 | 2020-08-14 |
| 1023629532 | Christopher Farley | Technician | 2212 Dale Bumpers Ct, North Las Vegas, NV 89081-2679 | 2020-08-10 |
| 1407466279 | Sylvia Ruacho | Technician | 2720 Holmes St, North Las Vegas, NV 89030-5428 | 2020-08-05 |
| 1255941274 | Marissa Elizabeth Nunez | Technician | 2105 Broken Twig Ct, North Las Vegas, NV 89032-0704 | 2020-08-04 |
| 1417567801 | Daniela Mendiola | Technician | 414 Violetta Ave, North Las Vegas, NV 89031-1785 | 2020-07-31 |
| 1548879265 | Jodi Knecht | Technician | 3216 Stanley Ave, North Las Vegas, NV 89030-7230 | 2020-07-28 |
| 1770101834 | Generson Cruz Manubay | Technician | 6916 Fox Sparrow Ct, North Las Vegas, NV 89084-2072 | 2020-07-06 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on LIZBETH DE JESUS PEREZ DE LIZAMA.
| 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.