The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1477908275 |
NPI Entity Type | Organization |
Provider Name |
Kimberly Broussard
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 3380 E Russell Rd, Suite 104, Las Vegas, NV, US |
Provider Mailing Address | 3380 E Russell Rd, Suite 104, Las Vegas, NV, US, 891203402 |
Is Sole Proprietor? | No |
Official Name | MRS. Kimberly Rashone Broussard |
Official Position | OWNER / OPERATOR |
Phone | 702-807-1718 |
Taxonomy Code | 193200000X |
Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Taxonomy Code | |
Taxonomy Name | Preferred Provider Organization |
Classification | |
Group | |
Description | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Joe Dean Shaw II Individual |
Student in an Organized Health Care Education/Training Program |
820 15th St |
|
PT, DPT Adam J Javate Individual |
10895 S Eastern Ave Ste 120 |
||
DR. MD John David Wolfe Individual |
4700 Las Vegas Blvd N |
||
MRS. FNP-BC Shermeka Leandra Tubbs Individual |
3186 S Maryland Pkwy |
||
CSWI Sara Tribble Individual |
3340 Topaz St Ste 170 |
||
NP Marichu Pizan Individual |
8854 Carradori Ave |
||
MS. NP-C Faith Marie Nepomuceno Unite Individual |
2820 W Charleston Blvd Ste 33 |
||
DR. DMD Crystal Viss Individual |
2380 Via Inspirada Ste 100b |
||
Shajoba Renee Baker Individual |
1575 Delucchi Ln Ste 218 |
||
MRS. Tara Emilia Durley Individual |
1575 Delucchi Ln Ste 218 |
||
Brain Power Medical Center Llc Organization |
3430 E Flamingo Rd Ste 104 |
||
MA Cheryl Ann Davis Individual |
1481 W Warm Springs Rd Ste 132 |
||
Benalex Incorporated Organization |
5458 Longley Ln Ste B5458 |
||
Joanna Blanco Individual |
2415 Reynolds Ave |
||
Denae Landrum Individual |
2770 S Maryland Pkwy Ste 108 |
||
MA CCC-SLP Vicki Cleverley - Wardell Individual |
7261 W Charleston Blvd Ste 101 |
||
Well Care Medical Group Of North Las Vegas Organization |
4130 N Mlk Blvd Ste A |
||
Maykel Guerra Alvarez Individual |
2001 S Jones Blvd Ste E3 |
||
Mayra Montijo Individual |
1706 W Bonanza Rd |
||
Elizabeth Garcia Maldonado Individual |
8020 W Sahara Ave Ste 125 |
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