KRYSTLE IRIZARRY (NPI# 1871028647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871028647 |
| Entity Type | Individual |
| Full Name | KRYSTLE IRIZARRY |
| Other Name | KRYSTLE IRIZARRY |
| Practice Address |
5891 E Charleston Blvd Ste 150 Las Vegas NV 89142-1053 |
| Practice Telephone | 7257773120 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO22718 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7727 Lake Underhill Rd, Orlando, FL 328228224 | 4073038110 |
| Street Address |
5891 E CHARLESTON BLVD STE 150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89142-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473051 | Elia Reyes | Technician | 5208 Blossom Ave, Las Vegas, NV 89142 | 2020-06-30 |
| 1851932644 | Bernardita Katang Byrd | Technician | 6527 Firstview Ave, Las Vegas, NV 89142 | 2019-10-02 |
| 1730739517 | Michelle Hundley | Technician | 1482 S Phyllis St, Las Vegas, NV 89142 | 2019-09-13 |
| 1619485208 | Alxenia P Brown-gay | Technician | 5150 Spyglass St., Apt. 257, Las Vegas, NV 89142 | 2018-01-17 |
| 1861868374 | Yanet San Pedro Avile | Rehabilitation Practitioner | 5306 Sandstone, Las Vegas, NV 89142 | 2015-08-19 |
| 1174911820 | Jennifer Nguyen Vo | Pharmacist | 5011 East Sahara Ave, Las Vegas, NV 89142 | 2015-01-05 |
| 1003024605 | Neighborhood Dental | Clinic/Center | 5061 E. Sahara Ave Ste 1a, Las Vegas, NV 89142 | 2007-05-18 |
| 1962499384 | Rachel A Mcconnell | Obstetrics & Gynecology | 653 Town Center Dr, 206, Las Vegas, NV 89142 | 2005-09-30 |
| 1578039947 | Duniet J Bonachea Hernandez | Technician | 1330 Amapola Dr, Las Vegas, NV 89142-0101 | 2018-10-23 |
| 1255620795 | Rosa Villarreal | Rehabilitation Practitioner | 5740 Blossom View Ave, Las Vegas, NV 89142-0108 | 2011-04-05 |
| Find all providers in zip 89142 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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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.