MRS. DOMINIQUE SMITH (NPI# 1669027843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669027843 |
Entity Type | Individual |
Full Name | MRS. DOMINIQUE SMITH |
Credential | PHLEBOTOMIST |
Practice Address |
1701 N Green Valley Pkwy Ste 9a Henderson NV 89074-5991 |
Mailing Address |
9225 W Charleston Blvd Apt 1041 Las Vegas NV 89117-7051 |
Practice Telephone | 7024071100 |
Mailing Telephone | 7027582817 |
Enumeration Date | 2019-08-05 |
Last Update Date | 2020-04-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
57346-AL-O | NV | Technologists, Technicians & Other Technical Service Providers |
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Address | Telephone Number | Fax Number |
---|---|---|
9225 W Charleston Blvd Apt 1041, Las Vegas, NV 891177051 | 7027582817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689067043 | Dominique Smith | Licensed Practical Nurse | 18424 Klinger St, Detroit, MI 48234-1718 | 2015-03-10 |
1396168381 | Dominique Smith | Counselor | 2050 Betty Ln Unit 115, Las Vegas, NV 89156-5615 | 2014-01-27 |
1700871241 | Dominique J. Smith | Obstetrics & Gynecology | 5404 Hillandale Park Ct, Lithonia, GA 30058-8803 | 2005-09-12 |
1407401086 | Dominique Marie Smith | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2019-08-09 |
1558920777 | Dominique Desiree Smith | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2019-06-11 |
1225692460 | Dominique Cherie Smith | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-23 |
1013498831 | Dominique Deniece Smith | Occupational Therapy Assistant | 506 Van Ness St, Winters, TX 79567-4724 | 2018-08-29 |
1396223269 | Dominique Smith | Physical Therapy Assistant | 625 Walnut St, Mckeesport, PA 15132-2806 | 2018-08-02 |
1467944215 | Dominique Patrice Smith | Recreation Therapist | 3601 Coliseum St, New Orleans, LA 70115-3606 | 2018-06-06 |
1073029070 | Dominique Smith | Home Health Aide | 1010 Vermont Ave Nw Ste 1003, Washington, DC 20005-4927 | 2017-12-28 |
Street Address |
1701 N GREEN VALLEY PKWY STE 9A |
City | HENDERSON |
State | NV |
Zip Code | 89074-5991 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861611733 | Laura Lobaton Anat | Licensed Vocational Nurse | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2007-04-25 |
1245831494 | Elizabeth Perry | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
1689275836 | Chivanni Richard | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
1942801196 | Essence Russell | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
1932700044 | Audrie Reeves | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
1124628276 | Angelina Walker | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
1871193920 | Terrica Brown | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
1902406069 | Cheryl Van Meter | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
1104425040 | Susan Otoole | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-21 |
1639777303 | Karren May Barona | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-14 |
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 | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396355848 | Stephaney M Roundtree | Technician, Pathology | 1795 Mount Hood St, Las Vegas, NV 89156-7049 | 2020-08-07 |
1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
1629617972 | Michelle King | Technician, Pathology | 2508 Birds Nest Cactus Ct, Las Vegas, NV 89106-1439 | 2020-01-04 |
1154963171 | Laneya Jones | Technician, Pathology | 720 Old Moccasin Ave, North Las Vegas, NV 89032-8217 | 2019-10-10 |
1336617646 | Laura Jane Burns | Technician, Pathology | 2113 Michael Dr, Carson City, NV 89703-2118 | 2018-11-05 |
1033596036 | Alfredia-princella Allen | Technician, Pathology | 1881 W Alexander Rd Unit 2041, North Las Vegas, NV 89032-9053 | 2015-04-29 |
1932347242 | Phyllis A Tellis | Technician, Pathology | 3013 N Rancho Dr Ste 127, Las Vegas, NV 89130-3349 | 2009-01-23 |
1306447990 | Kylie Janae Torres | Technician, Pathology | 1025 Hospital Rd, Schurz, NV 89427 | 2020-11-02 |
1558990523 | High Hopes Labs LLC | Technician, Pathology | 2508 Birds Nest Cactus Ct, Las Vegas, NV 89106-1439 | 2020-04-02 |
1578952370 | Rosalba Renteria | Technician, Pathology | 330 S Valley View Blvd, Las Vegas, NV 89107-4361 | 2015-01-16 |
Find all providers with the same taxonomy |
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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.