Raymond Donald Clark IIi (NPI# 1073115093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1073115093 |
Entity Type | Individual |
Full Name | Raymond Donald Clark IIi |
Gender | Male |
Practice Address |
1024 W Owens Ave Unit 3 Las Vegas NV 89106-2520 |
Practice Telephone | 9512586714 |
Mailing Address |
3955 University Center Dr Apt 375 Las Vegas NV 89119-7261 |
Sole Proprietor | Yes, this individual is a Sole Proprietor |
Enumeration Date | 2020-11-13 |
Last Update Date | 2020-11-13 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
Yes | 3747P1801X | Technician · Personal Care Attendant | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821280033 | Raymond Kenneth Clark | Pharmacist | 142 Cole Dr, North Kingstown, RI 02852-3626 | 2007-08-11 |
1720118359 | Raymond B Clark | Dentist | 1520 Horton Rd, Jackson, MI 49203-5127 | 2007-03-06 |
1003985433 | Raymond Charles Clark Viii | Chiropractor | 600 W Harrison St, Reidsville, NC 27320-4622 | 2006-11-07 |
1619075298 | Raymond George Clark | Chiropractor | 1306 23rd St S, Fargo, ND 58103-3707 | 2006-09-20 |
1750483699 | Raymond H Clark | Psychiatry & Neurology | 5330 Plantation Cv, Conway, AR 72034-8586 | 2006-09-01 |
1720064447 | Raymond Lee Clark Jr. | Pharmacist | 1316 Noble St Ste 1-c, Anniston, AL 36201-4643 | 2005-12-15 |
1487897336 | Raymond D Clark | Registered Nurse | 1200 Country Club Ln, Fort Worth, TX 76112-2353 | 2009-04-08 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124614334 | Xiang Hua Bellino | Technician | 9538 Adobe Arch Ct, Las Vegas, NV 89148-1663 | 2020-12-12 |
1578169702 | Preferred Personal Care Services of Nevada Inc. | Technician | 8358 Marcasel Dr, Las Vegas, NV 89123-2387 | 2020-12-11 |
1740886050 | Xiu Jun Xue | Technician | 6118 Meadow View Ln, Las Vegas, NV 89103-1126 | 2020-12-10 |
1982200622 | Yi Mei | Technician | 9836 Tehama Ct, Las Vegas, NV 89117-0146 | 2020-12-08 |
1114523875 | Quang Q Truong | Technician | 8270 Pearl Oasis Ct, Las Vegas, NV 89139-7175 | 2020-12-08 |
1831795616 | Jennifer Harper | Technician | 2675 S Nellis Blvd Apt 2173, Las Vegas, NV 89121-7722 | 2020-12-08 |
1407451529 | Kimberly Herrera | Technician | 8656 Trafalgar Dr, Las Vegas, NV 89117-2344 | 2020-12-04 |
1518561844 | Hue Nhan Nguyen | Technician | 3908 Calle Mirador, Las Vegas, NV 89103-2639 | 2020-11-27 |
1710580741 | Madelennis Diaz De La Cruz | Technician | 9490 Bermuda Rd, Las Vegas, NV 89123-3581 | 2020-11-20 |
1740883008 | Conception Olivarez | Technician | 6572 Elk Creek Ln, Las Vegas, NV 89156-3740 | 2020-11-19 |
Find all providers in LAS VEGAS |
Street Address |
1024 W OWENS AVE UNIT 3 |
City | LAS VEGAS |
State | NV |
Zip Code | 89106-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750983359 | Curtis Bartlett | Counselor | 1024 W Lake Mead, Las Vegas, NV 89106 | 2020-11-10 |
1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
1568924215 | Arlandrea Tarvins | Behavior Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
Find all providers in zip 89106 |
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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.