ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS (NPI# 1902365869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902365869 |
| Entity Type | Organization |
| Organization Name | ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS |
| Other Organization Name | AUTUMN WAKE, RN, BSN, IBCLC |
| Practice Address |
6970 S Cimarron Rd Ste 100 Las Vegas NV 89113-2135 |
| Practice Telephone | 7027649290 |
| Practice Fax Number | 7024735383 |
| Mailing Telephone | 7027649290 |
| Mailing Fax Number | 7024735383 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | AUTUMN WAKE (OWNER/PRACTITIONER) |
| Authorized Official Telephone | 7027649290 |
| Authorized Official Credential | RN, BSN, IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| AUTUMN WAKE, RN, BSN, IBCLC | Doing Business As Name - Organization |
| Street Address |
6970 S CIMARRON RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168732 | Autumn Wake | Registered Nurse | 6581 Ironbound Bay Ave, Las Vegas, NV 89139-6130 | 2017-04-11 |
| 1902175078 | Lisa Ann Weinshenker | Registered Nurse | 9670 Simple Life Ave, Las Vegas, NV 89148-4518 | 2011-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469285 | Suzette Elise Benecke | Registered Nurse | 2628 Elizabeth Pkwy, Fallon, NV 89406-5895 | 2020-02-18 |
| 1285182535 | Katherine Brenda Scott | Registered Nurse | 4555 Big Dog Rd, Reno, NV 89510-9595 | 2016-09-15 |
| 1073919296 | Elizabeth Anne Melton | Registered Nurse | 5880 Pelham Dr, Reno, NV 89502-9730 | 2014-11-16 |
| 1720490493 | Siobhan Caffrey | Registered Nurse | 46 Megan Dr, Henderson, NV 89074-2774 | 2014-05-28 |
| 1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
| 1184830085 | Robin Hollen | Registered Nurse | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2007-05-15 |
| 1841780566 | Tlc Lactation Consulting | Registered Nurse | 5880 Pelham Dr, Reno, NV 89502-9730 | 2018-05-17 |
| 1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
Please comment or provide details below to improve the information on ADVANCED BREASTFEEDING SUPPORT OF LAS VEGAS.
| 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.