MERVIN KENNETH ALEXANDER JR. (NPI# 1740830462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740830462 |
| Entity Type | Individual |
| Full Name | MERVIN KENNETH ALEXANDER JR. |
| Practice Address |
6117 Broccoli St North Las Vegas NV 89081-6677 |
| Practice Telephone | 7026853063 |
| Mailing Telephone | 7025420760 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | NV20191399554 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6117 BROCCOLI ST |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081-6677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1912426909 | Olive Branch Mentoring | Community/Behavioral Health | 5548 Ayers Cliff Street, North Las Vegas, NV 89081 | 2017-09-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| Find all providers in zip 89081 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901722 | The Nevada Wellness Group LLC | Specialist/Technologist | 9691 Trailwood Dr Ste 104, Las Vegas, NV 89134-6254 | 2020-08-05 |
| 1073136396 | Ronald Johnson | Specialist/Technologist | 6325 Novak St, Las Vegas, NV 89115-1409 | 2020-05-20 |
| 1285185934 | Gina Neeley | Specialist/Technologist | 8942 Spring Peeper Ave, Las Vegas, NV 89148-3856 | 2016-10-18 |
| 1437423092 | Annette Alberta Scott | Specialist/Technologist | 1865 Avacado Ct, Henderson, NV 89014-3811 | 2012-02-29 |
| 1093788259 | Patrick Joseph Ballinger Sr. | Specialist/Technologist | 3131 Las Vegas Blvd S, Las Vegas, NV 89109-1967 | 2006-02-08 |
| 1700356805 | Jasmine Lima Delchambre | Specialist/Technologist | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on MERVIN KENNETH ALEXANDER JR..
| 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.