JUSTIN HENRY SACRIPANTE (NPI# 1982793998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982793998 |
| Entity Type | Individual |
| Full Name | JUSTIN HENRY SACRIPANTE |
| Credential | PA-C |
| Practice Address |
925 Wells Avenue W. Wendover NV 89883 |
| Practice Telephone | 7756642220 |
| Practice Fax Number | 7756642965 |
| Mailing Telephone | 7756642220 |
| Mailing Fax Number | 7756642965 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | PA1002 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1002 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PA LICENSE | PA1002 | 01 |
| Street Address |
925 WELLS AVENUE |
| City | W. WENDOVER |
| State | NV |
| Zip Code | 89883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863173 | Chad Francom | Physician Assistant | 925 Wells Avenue, W. Wendover, NV 89883-3520 | 2016-11-08 |
| 1982888772 | Nevada Health Centers, Inc. | Pharmacy | 925 Wells Avenue, W. Wendover, NV 89883 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801118351 | Rehab & Industrial Services | Preferred Provider Organization | 925 North Wells Avenue, Unit B, West Wendover, NV 89883 | 2010-02-25 |
| 1891877734 | State of Nevada | Clinic/Center | 925 Wells Ave, Wendover, NV 89883 | 2006-10-19 |
| 1396760914 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1855 West Wendover Blvd, Wendover, NV 89883 | 2006-07-13 |
| 1043840770 | John Eckersley | Pharmacist | 1855 West Wendover Blvd, West Wendover, NV 89883 | 2020-01-22 |
| 1831503259 | Travis Keith Hardin | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2014-06-13 |
| 1598067803 | Christy Gene Somsen | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2010-11-19 |
| 1972500445 | Mountain West Inc | Ambulance | 427 Mesa, West Wendover, NV 89883-2530 | 2005-06-30 |
| 1417488396 | Kimberlee Haycock | Behavior Technician | 1417 Cactus St, Wendover, NV 89883-3030 | 2017-03-23 |
| 1710428826 | Rachel Jackson | Behavior Technician | 3256 Sky View Dr, Box 4323, West Wendover, NV 89883-3659 | 2017-03-09 |
| 1710415815 | Maria G Ortega | Behavioral Analyst | 663 N Apache Ln, West Wendover, NV 89883-5708 | 2017-06-01 |
| Find all providers in zip 89883 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154863173 | Chad Francom | Physician Assistant | 925 Wells Avenue, W. Wendover, NV 89883-3520 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | W. WENDOVER |
| Zip Code | 89883 |
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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.