TENNILLE RENAE DAVIS (NPI# 1861993362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861993362 |
Entity Type | Individual |
Full Name | TENNILLE RENAE DAVIS |
Practice Address |
3925 N Martin L King Blvd Ste 202 North Las Vegas NV 89032-7675 |
Mailing Address |
5244 Tamarus St Apt D Las Vegas NV 89119-5045 |
Practice Telephone | 7029099333 |
Practice Fax Number | 7029099262 |
Mailing Telephone | 3128529265 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2525 N Decatur Blvd Ste 2, Las Vegas, NV 891082976 | 7029823636 |
Street Address |
3925 N MARTIN L KING BLVD STE 202 |
City | NORTH LAS VEGAS |
State | NV |
Zip Code | 89032-7675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811498306 | Michal Diane Richards | Contractor | 3925 N Martin L King Blvd Ste 202, North Las Vegas, NV 89032-7675 | 2018-02-21 |
1386124295 | Mawuena Igol Kwame Sedzro | Behavioral Analyst | 3925 N Martin L King Blvd Ste 202, North Las Vegas, NV 89032-7675 | 2018-08-20 |
1336645688 | Tanya F Johnson | Behavior Technician | 3925 N Martin L King Blvd Ste 202, North Las Vegas, NV 89032-7675 | 2018-04-04 |
1578064432 | Jimmy C Johnson | Social Worker | 3925 N Martin L King Blvd Ste 202, North Las Vegas, NV 89032-7675 | 2018-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
Find all providers in zip 89032 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
1538654264 | To & Fro Transport LLC. | Driver | 827 Astro Ct, North Las Vegas, NV 89030-4775 | 2018-06-26 |
1629434147 | Rhiannon Nicole Foreman | Driver | 1021 Neva Ranch Ave, North Las Vegas, NV 89081-4418 | 2016-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093339749 | Melanie Marie Davis | Driver | 5055 E Charleston Blvd Apt C116, Las Vegas, NV 89104-6476 | 2020-05-28 |
1477183788 | Saimone Sandra Sailor | Driver | 2589 Pine Creek Rd, Las Vegas, NV 89115-4335 | 2020-01-26 |
1043840515 | Felton Dwight Davis | Driver | 8865 Knickknack Ct, Las Vegas, NV 89149-0452 | 2020-01-23 |
1316587918 | Christopher Finkley | Driver | 3125 W Warm Springs Rd Apt 1522, Henderson, NV 89014-5021 | 2020-01-10 |
1891350989 | Louisa Peterson | Driver | 3005 Shady Garden Ct, N Las Vegas, NV 89031-3508 | 2019-05-05 |
1033675756 | Ralph Mesa | Driver | 6514 Brook Cottage Ln, Las Vegas, NV 89122-0847 | 2019-02-18 |
1013485267 | Katarina Karapetyan | Driver | 7473 Pepperbox Ave, Las Vegas, NV 89179-1815 | 2018-11-06 |
1609367465 | Michael J Defazio | Driver | 6755 Shelter Ln, Las Vegas, NV 89103-4369 | 2018-05-28 |
1053825125 | Henry Thrasher | Driver | 3335 Hauck St, Las Vegas, NV 89146-8022 | 2017-11-27 |
1831601806 | Kamoreah Williams | Driver | 1906 H St, Las Vegas, NV 89106-2536 | 2017-10-31 |
Find all providers with the same taxonomy |
City | NORTH LAS VEGAS |
Zip Code | 89032 |
Please comment or provide details below to improve the information on TENNILLE RENAE DAVIS.
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.