ASHLEY M. BULOSAN (NPI# 1790174415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790174415 |
| Entity Type | Individual |
| Full Name | ASHLEY M. BULOSAN |
| Practice Address |
5812 Sutcliffe Cir Las Vegas NV 89110-3855 |
| Mailing Address |
622 Staghorn Pass Ave Las Vegas NV 89183-4662 |
| Practice Telephone | 7025187247 |
| Mailing Telephone | 7025235159 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5812 SUTCLIFFE CIR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89110-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873780 | Desiree C Cantorna-ibarra | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2010-10-25 |
| 1033583307 | Chelsey Corpuz | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-11-23 |
| 1265817084 | Joshua Reese Manzano | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2015-07-22 |
| 1689003659 | Mason Cantorna | Rehabilitation Practitioner | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2013-11-10 |
| 1972873586 | Pacific Behavioral Health Services | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2012-01-12 |
| 1083906432 | Reelana Marie Corpuz | Counselor | 5812 Sutcliffe Cir, Las Vegas, NV 89110-3855 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740792 | Egalitarian Nevada LLC | Community/Behavioral Health | 241 North Nellis Boulevard, Suite 103, Las Vegas, NV 89110 | 2019-10-03 |
| 1730698333 | Antoinette Garrett | Rehabilitation Practitioner | 3085 S. Jones Boulevard Ste D., Las Vegas, NV 89110 | 2017-09-26 |
| 1063883486 | Chanfay Michelle Dabney | Adult Companion | 609 Sponseller, Las Vegas, NV 89110 | 2015-10-12 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1679994487 | Maria Arias De Lujan | Registered Nurse | 570 N Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-20 |
| 1932520988 | Satoko Brilis | Registered Nurse | 570 N. Nellis Blvd., Suite D-1, Las Vegas, NV 89110 | 2013-12-18 |
| 1245651231 | Loriza Chongtai | Registered Nurse | 570 N.nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1255752242 | Marites Navarro | Registered Nurse | 570 N. Nellis Blvd Suite D1, Las Vegas, NV 89110 | 2013-12-18 |
| 1770904781 | Karen M Atkins | Registered Nurse | 570 N. Nellis Blvd, Suite D1, Las Vegas, NV 89110 | 2013-12-17 |
| 1780020016 | Emma Jean Watson | Counselor | 3750 East Bonanza Rd Unit 155, Las Vegas, NV 89110 | 2013-05-14 |
| Find all providers in zip 89110 | ||||
| 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.