KEVIN VILLAREALE


Address: 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528
Phone: 8558644322

KEVIN VILLAREALE (NPI# 1700361383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700361383
Entity Type Individual
Full Name KEVIN VILLAREALE
Practice Address 9811 W Charleston Blvd # 2-641
Las Vegas
NV 89117-7528
Mailing Address 2210 Miami St Apt 3
South Bend
IN 46613-2939
Practice Telephone 8558644322
Mailing Telephone 7165360875
Enumeration Date 2018-09-28
Last Update Date 2018-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2472E0500X Technician, Other
Specialization: EEG 		Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 9811 W CHARLESTON BLVD # 2-641
City LAS VEGAS
State NV
Zip Code 89117-7528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457560898 Chad Allen Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Blvd #2-641, Las Vegas, NV 89117-7528 2007-05-22
1508405333 Mark Edward Dunn Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-12-26
1609412758 Peter Andrew Schaible Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-25
1649816141 Alexandrine Julienne Labban Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1518503010 Gabrielle Page Frost Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1295371797 Prentiss Alonzo Lawson Iv Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1972149474 Chetany Agastya Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1639715139 Angelea Kuipers Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1588200083 Taylor Ashley Jones Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
1528604022 Cevin William Riley Specialist/Technologist, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2019-11-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2472E0500X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other
Specialization EEG

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316459969 Kassim Kail Carney Technician, Other 7912 Howard Dade Ave, Las Vegas, NV 89129-5557 2017-11-03
1174916522 Monitoring Associates LLC Technician, Other 7455 W Washington Ave # 302, Las Vegas, NV 89128-4337 2015-03-10
1598004640 Jennifer Turner Technician, Other 3151 Soaring Gulls Dr, Unit 1113, Las Vegas, NV 89128-7020 2013-02-10
1912482902 Mackenzie Gallagher Smith Technician, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2018-09-26
1922583939 Julieta Talamantes-ortiz Technician, Other 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528 2018-09-26
1831608595 Denise Rys Technician, Other 9811 W Charleston Blvd Ste 2-641, Las Vegas, NV 89117-7528 2017-09-26

Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

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.

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