SHAUTAUQUA BLOCKER
Nurse Practitioner (Psych/Mental Health)

Address: 3700 S Maryland Pkwy # 525d, Las Vegas, NV 89119-5615

SHAUTAUQUA BLOCKER (NPI# 1255911418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255911418
Entity Type Individual
Full Name SHAUTAUQUA BLOCKER
Gender Female
Credential APRN
Practice Address 3700 S Maryland Pkwy # 525d
Las Vegas
NV 89119-5615
Practice Telephone 8559674533
Mailing Address 8461 Farm Rd Ste 120-284
Las Vegas
NV 89131-8305
Mailing Telephone 6015729199
Certification Date 2020-12-04
Enumeration Date 2021-04-12
Last Update Date 2021-04-12
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
810948 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3700 S MARYLAND PKWY # 525D
City LAS VEGAS
State NV
Zip Code 89119-5615

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1063024214 Rosa Isela Martinez Gonzalez Technician - Personal Care Attendant 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker - Clinical 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-B, Las Vegas, NV 89119 2019-10-09
1003463910 Daniel Lugo Chore Provider 6725-1 S Eastern Ave, Las Vegas, NV 89119 2019-08-26
1083260046 Araceli Rosas Vargas Technician - Personal Care Attendant 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124609524 Iliad and Odyssey Behavioral Health LLC Nurse Practitioner - Psych/Mental Health 6330 W Flamingo Rd, Las Vegas, NV 89103-2201 2021-04-16
1245823863 Reimund Serafica Nurse Practitioner - Psych/Mental Health 3000 W Charleston Blvd Ste 5, Las Vegas, NV 89102-1940 2021-02-15
1366033342 Mary Grace Almirante Del Rosario Nurse Practitioner - Psych/Mental Health 5973 Atlantis Dream Ave, Las Vegas, NV 89139-6978 2021-02-01
1992396998 Susan Candelaria Nurse Practitioner - Psych/Mental Health 911 N Buffalo Dr # 206213, Las Vegas, NV 89128-0379 2021-02-01
1821687427 Brian Elliot Meyer Nurse Practitioner - Psych/Mental Health 9110 W Tropicana Ave Unit 162, Las Vegas, NV 89147-8152 2021-01-18
1740883958 Mile High Psychiatry LLC Nurse Practitioner - Psych/Mental Health 848 N Rainbow Blvd # 228, Las Vegas, NV 89107-1103 2020-11-19
1093315236 Steven Jon Knott Nurse Practitioner - Psych/Mental Health 2675 S Jones Blvd Ste 102, Las Vegas, NV 89146-5607 2020-10-27
1730792219 Mercedes Ocan Nurse Practitioner - Psych/Mental Health 4000 S Eastern Ave Ste 125, Las Vegas, NV 89119-0814 2020-08-25
1205447406 Shaheen Waqar Ahmad Nurse Practitioner - Psych/Mental Health 4270 S Decatur Blvd, Las Vegas, NV 89103-6800 2020-08-11
1801404074 Ibukun Odutola Nurse Practitioner - Psych/Mental Health 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 2020-07-14
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City LAS VEGAS
Zip Code 89119

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Dataset Information

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.

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