CRYSTAL SHANTE RODRIGUEZ (NPI# 1851819353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851819353 |
| Entity Type | Individual |
| Full Name | CRYSTAL SHANTE RODRIGUEZ |
| Credential | LMT |
| Practice Address |
105 N Pecos Rd Henderson NV 89074-7324 |
| Practice Telephone | (702) 565-1243 |
| Practice Fax Number | 7025651245 |
| Mailing Telephone | 7025651243 |
| Mailing Fax Number | 7025651245 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | NVMT.8619 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1568503159 | Crystal Dawn Rodriguez | Registered Nurse | 1325 Park Ave, Abilene, TX 79603-4945 | 2007-02-08 |
| 1073110011 | Crystal Rodriguez | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 | 2020-10-02 |
| 1578115507 | Crystal Rodriguez | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-07-10 |
| 1962997767 | Crystal Marie Rodriguez | Social Worker | 57 W Burnside Ave, Bronx, NY 10453-4038 | 2018-06-25 |
| 1265926182 | Crystal Rodriguez | Counselor | 8019 Compton Ave, Los Angeles, CA 90001 | 2018-06-15 |
| 1477047215 | Crystal Nicole Rodriguez | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-06-15 |
| 1801301973 | Crystal Lynn Rodriguez | Speech-Language Pathologist | 7257 N Fresno St, Fresno, CA 93720-2950 | 2017-12-11 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| 1518311372 | Crystal B Rodriguez | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2016-04-19 |
| Street Address |
105 N PECOS RD |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840643 | Linda L Ganz | Speech-Language Pathologist | 105 N Pecos Rd, Suite 116, Henderson, NV 89074-7324 | 2006-08-19 |
| 1598935926 | Chelsea Leigh Melgar | Speech-Language Pathologist | 105 N Pecos Rd, Suite 116, Henderson, NV 89074-7324 | 2008-02-29 |
| 1104029495 | Rebecca A. Peters, Md PC | Family Medicine | 105 N Pecos Rd, Suite 113, Henderson, NV 89074-7324 | 2007-06-06 |
| 1659432250 | Thomas Peters | Internal Medicine | 105 N Pecos Rd, Ste113, Henderson, NV 89074-1995 | 2006-12-13 |
| 1356410369 | Michael Frank Schlaack | Family Medicine | 105 N Pecos Rd, Suite 111, Henderson, NV 89074-7324 | 2006-11-06 |
| 1861571465 | Michael Frank Schlaack Md Ltd | Family Medicine | 105 N Pecos Rd, Ste111, Henderson, NV 89074-7324 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035853 | Mary Spiller | Massage Therapist | 11 S Water St Ste A, Henderson, NV 89015-2333 | 2020-08-24 |
| 1679183180 | Teisha Kay Jones | Massage Therapist | 80 N Pecos Rd Ste A, Henderson, NV 89074-3379 | 2020-08-10 |
| 1417308438 | Martin John Marx | Massage Therapist | 1073 Otto Ridge Ct, Henderson, NV 89052-0406 | 2016-06-30 |
| 1811251333 | Debra Boman | Massage Therapist | 1925 Magnolia Dr, Henderson, NV 89014-4539 | 2012-06-29 |
| 1851694558 | Lisa Defuria | Massage Therapist | 2808 Sodorno Ln, Henderson, NV 89074-2464 | 2010-12-19 |
| 1033425830 | Tiffany Mayhan | Massage Therapist | 277 Adorno Dr, Henderson, NV 89074-1464 | 2010-08-31 |
| 1215255914 | Cassandre Ann Buckalew | Massage Therapist | 640 Sandy Dr, Henderson, NV 89002-9223 | 2010-05-06 |
| 1023347457 | Janet A Kelley | Massage Therapist | 2123 Mardela Springs Ct, Henderson, NV 89052-7147 | 2009-12-14 |
| 1124627807 | James Baylis | Massage Therapist | 70 E Horizon Ridge Pkwy Ste 180, Henderson, NV 89002-7937 | 2020-10-22 |
| 1134684491 | Drechir Juanita Whitfield | Massage Therapist | 2920 N Green Valley Pkwy Ste 814, Henderson, NV 89014-0409 | 2019-01-31 |
| 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.