WILLIE LEE NORTHERN (NPI# 1750715819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750715819 |
| Entity Type | Individual |
| Full Name | WILLIE LEE NORTHERN |
| Practice Address |
401 N Buffalo Dr Ste 202 Las Vegas NV 89145-0397 |
| Practice Telephone | 7025277661 |
| Practice Fax Number | 7025277662 |
| Mailing Telephone | 7025277661 |
| Mailing Fax Number | 7025277662 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
401 N BUFFALO DR STE 202 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-0397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154380483 | Donald W Tice | Family Medicine | 401 N Buffalo Dr, Suite 100, Las Vegas, NV 89145-0310 | 2006-03-23 |
| 1689125692 | Kittusamy, LLP | Radiology | 401 N Buffalo Dr, Suite 100, Las Vegas, NV 89145-0310 | 2016-10-14 |
| 1487015624 | Journeys Community Services Inc | Respite Care | 401 N Buffalo Dr, Ste 202, Las Vegas, NV 89145-0310 | 2016-03-16 |
| 1891156311 | Kumar Management Group, LLC | Internal Medicine | 401 N Buffalo Dr, 100, Las Vegas, NV 89145-0310 | 2016-03-10 |
| 1558749168 | Kittusamy, LLP | Family Medicine | 401 N Buffalo Dr, Suite 100, Las Vegas, NV 89145-0310 | 2015-05-14 |
| 1215361688 | Las Fyzical LLC | Audiologist | 401 N Buffalo Dr, Suite 120, Las Vegas, NV 89145-0397 | 2013-08-21 |
| 1265878425 | Madeline Kelley | Rehabilitation Practitioner | 401 N Buffalo Dr, Ste 202, Las Vegas, NV 89145-0397 | 2013-05-15 |
| 1154764314 | Andrea Renee Johnson | Rehabilitation Practitioner | 401 N Buffalo Dr, Ste 202, Las Vegas, NV 89145-0397 | 2013-04-08 |
| 1174866925 | Rodney D Barnett | Rehabilitation Practitioner | 401 N Buffalo Dr, Ste 202, Las Vegas, NV 89145-0397 | 2013-03-30 |
| 1801137286 | Robert James Humphreys | Rehabilitation Practitioner | 401 N Buffalo Dr, Ste 202, Las Vegas, NV 89145-0397 | 2013-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| 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.