JONATHAN JACOB MIX (NPI# 1881933158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881933158 |
| Entity Type | Individual |
| Full Name | JONATHAN JACOB MIX |
| Practice Address |
2298 W Horizon Ridge Pkwy Suite 201 Henderson NV 89052-2696 |
| Practice Telephone | 7023637284 |
| Mailing Telephone | 7023637284 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
2298 W HORIZON RIDGE PKWY SUITE 201 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770614042 | John E Duerr | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy, Suite 213, Henderson, NV 89052-2696 | 2007-03-08 |
| 1932722642 | Sheilu Satyapriya | Counselor | 2298 W Horizon Ridge Pkwy, Henderson, NV 89052-2696 | 2020-05-28 |
| 1821533068 | Elizabeth Valles Montenegro | Counselor | 2298 W Horizon Ridge Pkwy, 201, Henderson, NV 89052-2696 | 2016-12-26 |
| 1952844409 | Alisha Abramson | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy, Henderson, NV 89052-2696 | 2016-11-30 |
| 1881046563 | Amanda Khan | Behavioral Analyst | 2298 W Horizon Ridge Pkwy, #201, Henderson, NV 89052-2696 | 2016-07-06 |
| 1689033243 | Amanda Flores | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy, Henderson, NV 89052-2696 | 2016-02-11 |
| 1841532363 | Stephanie Elizabeth Bond | Community Health Worker | 2298 W Horizon Ridge Pkwy, Henderson, NV 89052-2696 | 2013-03-22 |
| 1619219441 | Judy Ann Griffin | Community Health Worker | 2298 W Horizon Ridge Pkwy, Suite 201, Henderson, NV 89052-2696 | 2013-03-19 |
| 1851641252 | Tamika M Morris | Marriage & Family Therapist | 2298 W Horizon Ridge Pkwy, 201, Henderson, NV 89052-2696 | 2012-09-12 |
| 1598037970 | Arlene Kauffman | Counselor | 2298 W Horizon Ridge Pkwy, Suite 201, Henderson, NV 89052-2696 | 2012-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376080762 | Terry Scott | Contractor | 141 S Bullock St, Henderson, NC 27536-5185 | 2017-01-24 |
| 1376998542 | Stephanie Romney | Contractor | 685 Finch Island Ave, Henderson, NV 89015-6638 | 2016-04-25 |
| 1902267578 | Miriam King | Contractor | 4660 Fm 2867 E, Henderson, TX 75654-2336 | 2016-03-10 |
| 1952761355 | Betty Brown | Contractor | 300 Joseph Ave, Henderson, TX 75654-4334 | 2016-02-26 |
| 1003274036 | Christopher Alexander St. John | Contractor | 11501 Jamaica St, Henderson, CO 80640-7688 | 2016-02-04 |
| 1528426772 | Catherine Lightcap | Contractor | 2557 Leighton Ave, Henderson, NV 89052-6538 | 2016-02-03 |
| 1508221441 | Elsie Callaway | Contractor | 855 N Stephanie St Unit 213, Henderson, NV 89014-3081 | 2015-12-18 |
| 1457748691 | Rachel Kapral | Contractor | 2412 Luberon Dr, Henderson, NV 89044-0360 | 2015-04-24 |
| 1881005197 | Jan Rene Quattro | Contractor | 224 Mazatlan St, Henderson, NV 89074-5262 | 2014-05-09 |
| 1922346535 | Tara Lynn Marbrey | Contractor | 3185 State Route 200, Henderson, TN 38340-7244 | 2013-01-17 |
| 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.