IRIS RAMONA JESSUP (NPI# 1780084152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780084152 |
Entity Type | Individual |
Full Name | IRIS RAMONA JESSUP |
Practice Address |
3030 S Jones Blvd Ste 110 Las Vegas NV 89146-6793 |
Practice Telephone | 7025621238 |
Mailing Telephone | 7025621238 |
Enumeration Date | 2014-09-03 |
Last Update Date | 2014-09-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
IC-856 | NV | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | BOARD SOCIAL WORK LICENSE NUMBER | 2926-S | 01 |
NV | SOCIAL WORK CSW NUMBER | IC-856 | 01 |
Street Address |
3030 S JONES BLVD STE 110 |
City | LAS VEGAS |
State | NV |
Zip Code | 89146-6793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154506459 | Lo'rece L Mebane | Social Worker | 3030 S Jones Blvd Ste 110, Las Vegas, NV 89146-6793 | 2008-01-04 |
1811558372 | Elissa Lafranconi | Counselor | 3030 S Jones Blvd Ste 110, Las Vegas, NV 89146-6793 | 2019-06-25 |
1861893240 | Karen Martin | Counselor | 3030 S Jones Blvd Ste 110, Las Vegas, NV 89146-6793 | 2014-09-04 |
1689919854 | Llm Mahala Corporation, LLC | Community/Behavioral Health | 3030 S Jones Blvd Ste 110, Ste 110, Las Vegas, NV 89146-6793 | 2012-11-29 |
1619245651 | Krystal Kai Treadwell-brass | Social Worker | 3030 S Jones Blvd Ste 110, Las Vegas, NV 89146-6793 | 2011-12-06 |
1295014009 | Sherry Davis Oliver | Social Worker | 3030 S Jones Blvd Ste 110, Las Vegas, NV 89146-6793 | 2011-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
Find all providers in zip 89146 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447894449 | Monica Villa | Social Worker | 30 Avenida Villa, Las Vegas, NM 87701-4486 | 2019-11-01 |
1215570262 | Maday Matamoros | Social Worker | 2851 Dunstan Way, Las Vegas, NV 89123-6506 | 2019-10-22 |
1083159578 | Kenneth Yara | Social Worker | 2422 Calle Alegre, Las Vegas, NM 87701-4802 | 2016-12-20 |
1124426549 | Alysia Gardner | Social Worker | 3909 Sweet Pine St Unit 101, Las Vegas, NV 89108-8131 | 2014-12-17 |
1508295452 | Rodney Rice | Social Worker | 9360 W Flamingo Rd Ste 110-269, Las Vegas, NV 89147-6410 | 2013-11-01 |
1326389388 | Allen Leung | Social Worker | 3756 Warmbreeze Way, Las Vegas, NV 89129-6878 | 2013-03-14 |
1386939908 | Nichollette Miyoko Morita | Social Worker | 3362 Loma Linda Ln, Las Vegas, NV 89121-5721 | 2011-06-10 |
1275867780 | Tiffany Levon Day | Social Worker | 7075 W Gowan Rd Apt 1074, Las Vegas, NV 89129-6290 | 2009-09-30 |
1093285421 | Frances Anna Young | Social Worker | 7180 Cascade Valley Ct, Las Vegas, NV 89128-0449 | 2018-11-28 |
1851879480 | Victoria Vigil | Social Worker | 901 Douglas Ave, Las Vegas, NM 87701-3928 | 2018-08-06 |
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.