UNLV PRACTICE (NPI# 1750908828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750908828 |
| Entity Type | Organization |
| Organization Name | UNLV PRACTICE |
| Practice Address |
4505 S Maryland Pkwy Ceb 226 Las Vegas NV 89154 |
| Mailing Address |
4505 S Maryland Pkwy Box 453033 Las Vegas NV 89154-9900 |
| Practice Telephone | 7028951564 |
| Practice Fax Number | 7028951530 |
| Mailing Telephone | 7028951564 |
| Mailing Fax Number | 7028951530 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | CHRISTINA MARY PRENDERGAST (OFFICE MANAGER) |
| Authorized Official Telephone | 7028951564 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF NEVADA LAS VEGAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4505 S MARYLAND PKWY CEB 226 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548223670 | Joseph Giuseppe Parravano | Radiology | 4505 S Maryland Pkwy, Unlv-health Physics -ms 45053037, Las Vegas, NV 89154-9900 | 2006-04-10 |
| 1700409232 | Crystal Sowa | Nurse Practitioner | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2020-05-19 |
| 1871125948 | Colton Chapman | Student in an Organized Health Care Education/Training Program | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2020-02-06 |
| 1356981716 | Serena Elizabeth Bruhn | Specialist/Technologist | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2020-01-13 |
| 1427609189 | Angela Elizabeth Silvestri-elmore | Nurse Practitioner | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2019-09-24 |
| 1326698465 | Bryan Jamie Lindl | Specialist/Technologist | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2019-09-19 |
| 1184285462 | Amber Del Carmen Regalado | Specialist/Technologist | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2019-06-26 |
| 1437710712 | Leah Nicole Racine | Specialist/Technologist | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2019-06-26 |
| 1639736507 | Skylar Spitz | Specialist/Technologist | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2019-05-24 |
| 1851889380 | Ann Xuan Nguyen | Student in an Organized Health Care Education/Training Program | 4505 S Maryland Pkwy, Las Vegas, NV 89154-9900 | 2018-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751209 | Paul Longworth | Student in an Organized Health Care Education/Training Program | 4505 South Maryland Parkway, Las Vegas, NV 89154 | 2020-02-06 |
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1184151615 | Meghan Nicole Wonderling | Specialist/Technologist | 4505 S. Maryland Pkwy, Box 453034, Las Vegas, NV 89154 | 2017-05-15 |
| 1265854731 | University of Nevada School of Medicine Multispecialty Group Practice | Pediatrics | 4505 S. Maryland Prkway, Room 226, Unlv College of Education, Carlson Education Building, Las Vegas, NV 89154-3001 | 2014-01-17 |
| 1710106596 | Michelle Rene Dunne | Nurse Practitioner | 4505maryland Parkway, Las Vegas, NV 89154-3020 | 2007-04-24 |
| 1477698785 | Anthony John House | Specialist/Technologist | 4505 Maryland Parkway, Las Vegas, NV 89154-3034 | 2007-02-21 |
| 1366802092 | Andrew Rene Martinez | Specialist/Technologist | 4505 Maryland Parkway, Las Vegas, NV 89154-3034 | 2016-02-23 |
| 1568975753 | Kelli Florio | Specialist/Technologist | 4505 S Maryland Pkwy # 450007, Las Vegas, NV 89154-9900 | 2017-11-09 |
| 1629596218 | Tedd Girouard | Specialist/Technologist | 4505 S Maryland Pkwy # 3034, Las Vegas, NV 89154-9900 | 2017-09-02 |
| 1619388618 | Ashley Henard | Behavioral Analyst | 4505 S Maryland Pkwy # Ms 5030, Las Vegas, NV 89154-9900 | 2014-05-13 |
| Find all providers in zip 89154 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
| 1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
| 1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
| 1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| 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.