STACEY DARCEL MADDEN (NPI# 1134719933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134719933 |
| Entity Type | Individual |
| Full Name | STACEY DARCEL MADDEN |
| Gender | Female |
| Practice Address | 4290 Eagle Island St Las Vegas NV 89130-1424 |
| Practice Telephone | 7028243098 |
| Mailing Address | 4290 Eagle Island St Las Vegas NV 89130-1424 |
| Mailing Telephone | 7028243098 |
| Certification Date | 2021-01-25 |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 3747P1801X | Technician Specialization: Personal Care Attendant | Nursing Service Related Providers |
| Street Address | 4290 EAGLE ISLAND ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427646819 | Ashly Maestas | Registered Nurse · Community Health | 4302 Eagle Island St, Las Vegas, NV 89130-1424 | 2021-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356932537 | Derrick Jay Love | Counselor · Professional | 3652 N. Racho Dr, Ste 102, Las Vegas, NV 89130 | 2021-01-29 |
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center · Infusion Therapy | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavior Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavior Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavior Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor · Mental Health | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavior Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center · Adult Day Care | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| Find all providers in zip 89130 | ||||
| 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 |
|---|---|---|---|---|
| 1750973293 | Raeshan Patton | 6500 W Charleston Blvd Apt 457, Las Vegas, NV 89146-9038 | 2021-02-05 | |
| 1538751110 | Yolanda Guyton | 3842 Royal Crest St Apt 4, Las Vegas, NV 89119-7035 | 2021-02-05 | |
| 1144812751 | Maria Del Carmen Rodriguez | 5559 Aleman Dr, Las Vegas, NV 89113-1148 | 2021-02-04 | |
| 1750973426 | Celeste Perry-Campbell | 2306 Bledsoe Ln Apt 125, Las Vegas, NV 89156-5686 | 2021-02-04 | |
| 1801487616 | Eneyda Rayos Bastidas | 2881 S Valley View Blvd Suite 6, Las Vegas, NV 89102 | 2021-02-03 | |
| 1225620024 | Vilma S Visorde | 1500 Karen Ave Apt 46, Las Vegas, NV 89169-8867 | 2021-02-03 | |
| 1366033219 | Shawna Rose | 1332 Palantine Hill Dr, Las Vegas, NV 89117-0855 | 2021-02-02 | |
| 1659962496 | Johnathan Carpenter | 2200 S Fort Apache Rd Unit 1013, Las Vegas, NV 89117-5706 | 2021-02-02 | |
| 1972194959 | Jocelyn Sumampong | 3851 Wynn Rd Apt 1096, Las Vegas, NV 89103-6036 | 2021-02-01 | |
| 1912598970 | Lisa Lin Ni You | 4110 Sanderling Cir Unit 432, Las Vegas, NV 89103-1740 | 2021-02-01 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932351434 | Lakisha Darcel Jones · Lakisha Darcel Springer | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2008-10-15 |
| 1891038360 | Darcel Amber Stallbaumer · Darcel Amber Gronewoller | Speech-Language Pathologist | 276 2nd St, Baileyville, KS 66404-8477 | 2013-04-02 |
| 1346374246 | Stacey Anne Madden | Dietitian, Registered | 30 Locust St, Northampton, MA 01060-2052 | 2007-03-15 |
| 1902100910 | Darcel Marie Rainville · Darcel Marie Munson | Physical Therapy Assistant | 3915 Golden Valley Rd, Courage Center, Golden Valley, MN 55422-4249 | 2011-01-05 |
| 1558903856 | Stacey Lyn Madden | Massage Therapist | 806 S Salisbury Gq Ave, Salisbury, NC 28146-8157 | 2019-10-09 |
| 1013497833 | Madden Wilson · Madden Marie Hogan | Dietitian, Registered | 2100 Clinch Ave Ste 510, Knoxville, TN 37916-2225 | 2018-08-21 |
| 1568604189 | Madden Counseling · Arthur J. Madden, M.ed., Lpc | Counselor · Professional | 4245 Kemp Blvd Ste 710, Wichita Falls, TX 76308-2828 | 2009-03-27 |
| 1215969043 | Jennifer Elizabeth Madden · Henry Joseph Madden Jr. | Family Medicine | 3 Northern Blvd, Suite 3a, Amherst, NH 03031-2329 | 2006-07-06 |
| 1881129617 | Anne Madden · Annie Madden | Social Worker · Clinical | 30 Eastbrook Rd, Dedham, MA 02026-2048 | 2017-04-30 |
| 1396716254 | Alesia L Madden-Randolph · Alesia L Madden-Young | Podiatrist | 4475 Regency Pl, Suite 204, White Plains, MD 20695-3072 | 2006-01-30 |
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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.