JAMIE GRIGGS (NPI# 1811357627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811357627 |
| Entity Type | Individual |
| Full Name | JAMIE GRIGGS |
| Other Name | JAMIE LONG |
| Credential | APRN |
| Practice Address |
2210 E Calvada Blvd Pahrump NV 89048 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7028775199 |
| Mailing Telephone | 7028775199 |
| Mailing Fax Number | 7029845794 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN85668 | NV | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN002129 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1811357627 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4835 S Durango Dr, Las Vegas, NV 891478171 | 7028775199 | 7029845184 |
| Street Address |
2210 E CALVADA BLVD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962438861 | Mirit Avram | Internal Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2006-06-23 |
| 1619484797 | Jennifer Barba Mayer | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2018-01-10 |
| 1043769185 | Royal Bradley | Nurse Practitioner | 2210 E Calvada Blvd, Pahrump, NV 89048 | 2016-09-30 |
| 1174825954 | Kathy Lucille Knipp | Physician Assistant | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2010-11-30 |
| 1932367190 | Clifford Tse | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2008-05-23 |
| 1962614388 | Jim Wang | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2007-05-06 |
| 1225130768 | Francis Joseph Lacina | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2006-09-04 |
| 1528171709 | Carl Leviseur | Family Medicine | 2210 E Calvada Blvd, Pahrump, NV 89048-5804 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578976619 | Goedhart Medical Group | Nurse Practitioner | 1320 E Calvada Boulevard, Pahrump, NV 89048 | 2014-06-06 |
| 1275585382 | Renae Sue Goedhart | Nurse Practitioner | 3370 S Highway 160 Ste 9, Pahrump, NV 89048-5373 | 2006-05-17 |
| 1790300465 | Sheryl J Cipollini LLC | Nurse Practitioner | 1360 E Nevada Highway 372 Ste 5, Pahrump, NV 89048-2188 | 2020-06-09 |
| 1326687120 | Kyle J Kelly | Nurse Practitioner | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-12-27 |
| 1093284218 | Lindiane Shultis | Nurse Practitioner | 1397 S Loop Rd, Pahrump, NV 89048-4729 | 2018-11-16 |
| 1114417037 | Redstar Tyner Mello | Nurse Practitioner | 1151 S Highway 160, Pahrump, NV 89048 | 2018-05-16 |
| 1023475282 | Schadrey L. Bonds I | Nurse Practitioner | 360 S Lola Ln Bldg B, Pahrump, NV 89048-0884 | 2016-01-19 |
| 1730566647 | Donna L Kelly | Nurse Practitioner | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2015-04-29 |
| 1215350871 | Leora Taylor-sanderson | Nurse Practitioner | 1397 S Loop Rd, Pahrump, NV 89048 | 2014-01-31 |
| 1710314539 | Nathaniel D Magtoto | Nurse Practitioner | 1501 E Calvada Blvd, Pahrump, NV 89048-5807 | 2013-10-11 |
| Find all providers in PAHRUMP | ||||
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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.