THE NEVADA WELLNESS GROUP LLC (NPI# 1851901722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851901722 |
| Entity Type | Organization |
| Organization Name | THE NEVADA WELLNESS GROUP LLC |
| Practice Address |
9691 Trailwood Dr Ste 104 Las Vegas NV 89134-6254 |
| Mailing Address |
221 Popolo Dr Las Vegas NV 89138-1508 |
| Practice Telephone | 7025187180 |
| Mailing Telephone | 7184315554 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | CHUCK GOMEZ (OWNER) |
| Authorized Official Telephone | 6462417728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9691 TRAILWOOD DR STE 104 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89134-6254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345786 | J'aime Nicole Macpherson | Marriage & Family Therapist | 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 | 2018-08-09 |
| 1487178471 | Rcg LLC | Nurse Practitioner | 10109 Snow Crest Pl, Las Vegas, NV 89134 | 2017-08-01 |
| 1346770120 | Rizalyne May Abdelnour | Dentist | 9501 Hillwood Dr., Las Vegas, NV 89134 | 2017-06-14 |
| 1215465380 | Erin Mattera | Marriage & Family Therapist | 9418 West Lake Mead Blvd, Las Vegas, NV 89134 | 2017-06-01 |
| 1871044636 | Albert Khavkin, Ltd | Pain Medicine | 9329 Eagle Ridge Dr, Las Vegas, NV 89134 | 2016-10-17 |
| 1952647794 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 8568 Del Webb Blvd., Las Vegas, NV 89134 | 2012-12-26 |
| 1518247311 | Proteus Therapeutic Solutions Inc | Counselor | 1813 Sierra Oaks Ln, Las Vegas, NV 89134 | 2011-08-24 |
| 1629357702 | Jessica Robbins | Marriage & Family Therapist | 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 | 2011-08-08 |
| 1447575659 | Sara Pelton | Marriage & Family Therapist | 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 | 2010-03-30 |
| 1205167517 | James Joshua Greathouse | Physical Therapist | 1845 Village Center Cir, Las Vegas, NV 89134 | 2010-01-26 |
| Find all providers in zip 89134 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073136396 | Ronald Johnson | Specialist/Technologist | 6325 Novak St, Las Vegas, NV 89115-1409 | 2020-05-20 |
| 1285185934 | Gina Neeley | Specialist/Technologist | 8942 Spring Peeper Ave, Las Vegas, NV 89148-3856 | 2016-10-18 |
| 1093788259 | Patrick Joseph Ballinger Sr. | Specialist/Technologist | 3131 Las Vegas Blvd S, Las Vegas, NV 89109-1967 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830462 | Mervin Kenneth Alexander Jr. | Specialist/Technologist | 6117 Broccoli St, North Las Vegas, NV 89081-6677 | 2019-09-14 |
| 1437423092 | Annette Alberta Scott | Specialist/Technologist | 1865 Avacado Ct, Henderson, NV 89014-3811 | 2012-02-29 |
| 1700356805 | Jasmine Lima Delchambre | Specialist/Technologist | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
Please comment or provide details below to improve the information on THE NEVADA WELLNESS GROUP LLC.
| 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.