SHAWNA RAE REID (NPI# 1710968391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710968391 |
| Entity Type | Individual |
| Full Name | SHAWNA RAE REID |
| Credential | PA-C |
| Practice Address |
2809 W Charleston Blvd Suite 150 Las Vegas NV 89102-1998 |
| Practice Telephone | 7024769999 |
| Practice Fax Number | 7029461343 |
| Mailing Telephone | 7024769999 |
| Mailing Fax Number | 7029461343 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA734 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053335125 | Shawna Reid | Nurse Practitioner | 1229 Sw High Ave, Topeka, KS 66604-3952 | 2006-07-26 |
| Street Address |
2809 W CHARLESTON BLVD SUITE 150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076237 | Michael Francis Fisher | Physician Assistant | 2809 W Charleston Blvd, Ste. 150, Las Vegas, NV 89102-1998 | 2005-07-08 |
| 1699163071 | Rebecca Nana Markin-newsome | Physician Assistant | 2809 W Charleston Blvd, #150, Las Vegas, NV 89102-1998 | 2015-01-07 |
| 1184957268 | Coppel Medical Enterprise LLC | Anesthesiology | 2809 W Charleston Blvd, Suite 150, Las Vegas, NV 89102-1998 | 2009-09-08 |
| 1831349653 | Erwin Danzer | Nurse Practitioner | 2809 W Charleston Blvd, Ste 150, Las Vegas, NV 89102-1998 | 2008-09-29 |
| 1316057573 | Alain Coppel | Anesthesiology | 2809 W Charleston Blvd, Suite 150, Las Vegas, NV 89102-1998 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| Find all providers in LAS VEGAS | ||||
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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.