BLAKE ANTHONY SPATARO (NPI# 1891345526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891345526 |
| Entity Type | Individual |
| Full Name | BLAKE ANTHONY SPATARO |
| Credential | BA |
| Practice Address |
1925 Davina St Henderson NV 89074-1034 |
| Practice Telephone | 7027558753 |
| Mailing Telephone | 7027558753 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1925 DAVINA ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-1034 |
| 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 | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305231 | Tony Jones | Rehabilitation Practitioner | 80 S Gibson Rd Apt 2215, Henderson, NV 89012-2441 | 2020-07-31 |
| 1932727765 | Orlando Centeno Ramos | Rehabilitation Practitioner | 430 Federal St, Henderson, NV 89015-7323 | 2020-07-08 |
| 1922634880 | Jessica Joy Siewert | Rehabilitation Practitioner | 250 Autumn Eve St, Henderson, NV 89074-7837 | 2020-03-22 |
| 1427681048 | Leigh M Mcginest | Rehabilitation Practitioner | 1050 Whitney Ranch Dr Apt 3412, Henderson, NV 89014-3049 | 2020-02-21 |
| 1801438155 | Nicole Welch | Rehabilitation Practitioner | 819 Lauren Patt Ct, Henderson, NV 89014-2589 | 2019-10-08 |
| 1558910562 | Antwahn Mack Taylor | Rehabilitation Practitioner | 1644 Ravanusa Dr, Henderson, NV 89052-4071 | 2019-09-11 |
| 1740844117 | Samantha Anne Mcdaniel | Rehabilitation Practitioner | 67 Star Dunes St, Henderson, NV 89012-2637 | 2019-04-30 |
| 1801353925 | Lamika Barton | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 306, Henderson, NV 89015-6444 | 2019-02-25 |
| 1053889154 | Jessy Hernandes | Rehabilitation Practitioner | 73 Constitution Ave, Henderson, NV 89015-5782 | 2018-11-06 |
| 1659865764 | Stuart Elzy | Rehabilitation Practitioner | 98 E Lake Mead Pkwy Ste 302, Henderson, NV 89015-6444 | 2018-06-21 |
| 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.