MARY ELIZABETH PHENIX (NPI# 1801210422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801210422 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH PHENIX |
| Practice Address |
2298 W Horizon Ridge Pkwy Ste 201 Henderson NV 89052-2698 |
| Practice Telephone | 7029709159 |
| Mailing Telephone | 7029709159 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 2103211593 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6889 S Eastern Ave, Las Vegas, NV 891194687 | 7024341200 |
| Street Address |
2298 W HORIZON RIDGE PKWY STE 201 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508123589 | Victor A Caruso | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2012-04-16 |
| 1639799281 | Rochelle Grantz | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2020-04-23 |
| 1386279578 | Joseph Daniel Lopez | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2020-03-08 |
| 1467084434 | Amanda M Smith | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2020-02-07 |
| 1225677602 | Douglas Earle | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2020-01-02 |
| 1891330809 | Rey Japor Ulan | Counselor | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2019-11-13 |
| 1982248183 | Jennifer Tripp-herring | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2019-10-30 |
| 1528617420 | Edward Thomas Adams | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2019-09-04 |
| 1740762749 | Emily Ann Lewis | Counselor | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2018-09-05 |
| 1598246167 | Colette D Meighan | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy Ste 201, Henderson, NV 89052-2698 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
| 1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
| 1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
| 1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
| 1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
| 1891345526 | Blake Anthony Spataro | Rehabilitation Practitioner | 1925 Davina St, Henderson, NV 89074-1034 | 2019-09-15 |
| 1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
| 1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
| Find all providers in HENDERSON | ||||
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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.