JENIFFER CREQUE (NPI# 1902377229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902377229 |
Entity Type | Individual |
Full Name | JENIFFER CREQUE |
Credential | APRN |
Practice Address |
6040 S Fort Apache Rd Ste 100 Las Vegas NV 89148-5613 |
Practice Telephone | 7024764900 |
Practice Fax Number | 7024764949 |
Mailing Telephone | 7024764900 |
Mailing Fax Number | 7024764949 |
Enumeration Date | 2018-12-14 |
Last Update Date | 2018-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
815834 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | APRN LICENSE | 815834 | 01 |
MD | ANCC | 2018070364 | 01 |
Street Address |
6040 S FORT APACHE RD STE 100 |
City | LAS VEGAS |
State | NV |
Zip Code | 89148-5613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437147295 | Joaquim S Tavares | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2005-10-06 |
1801403126 | Kori Leftwich | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-09-30 |
1629684337 | Laurie Ann Blas Salcedo Hoang | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-09-17 |
1093340770 | Aya Werra | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2020-03-03 |
1174161566 | Leslie Kirkegard | Dietitian, Registered | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2019-12-16 |
1568930972 | Nancy Sahagun | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2018-11-05 |
1093210577 | Anthony Tubig Ligones | Nurse Practitioner | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2018-03-27 |
1396272860 | Tara Sue Kenny | Dietitian, Registered | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2017-05-16 |
1093157836 | Karan Gupta | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5613 | 2013-07-22 |
1407290968 | Michael John Gale | Internal Medicine | 6040 S Fort Apache Rd Ste 100, Las Vegas, NV 89148 | 2013-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
Find all providers in zip 89148 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
1285600502 | Tia B Hudon | Nurse Practitioner | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2006-02-27 |
1568469773 | Aloycha Li De La Roche | Nurse Practitioner | 6100 Iron Kettle St, Las Vegas, NV 89130-1065 | 2005-07-01 |
1588263248 | Makon Amazing Gifted Hands Pllc | Nurse Practitioner | 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 | 2020-10-22 |
1578171864 | Iliana Britt | Nurse Practitioner | 2968 E Russell Rd, Las Vegas, NV 89120-2453 | 2020-07-22 |
1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
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.