ROAMON WICKS (NPI# 1720673619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720673619 |
| Entity Type | Individual |
| Full Name | ROAMON WICKS |
| Gender | Male |
| Practice Address | 3085 S Jones Blvd Ste D Las Vegas NV 89146-6767 |
| Practice Telephone | 7028880036 |
| Practice Fax Number | 7028880035 |
| Mailing Address | 5910 W Haleh Ave Las Vegas NV 89141-8788 |
| Mailing Telephone | 5203893769 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address | 3085 S JONES BLVD STE D |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497347710 | William Howard Mason IIi | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2021-02-08 |
| 1205461233 | Joy Elizabeth Elitzer | Counselor · Professional | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2020-03-10 |
| 1538653928 | Andrenique Croom | Behavior Technician | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2018-06-19 |
| 1508309493 | Whitney Blair Etheridge | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-11-23 |
| 1093267833 | Deedra Ann Toilolo | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-10-27 |
| 1982153193 | Terrenze Walker | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-09-28 |
| 1851743264 | Sha'Ron Evonne French | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-07-09 |
| 1336596840 | Michelle Murray | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-05-16 |
| 1376901777 | Diana A Garcia | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2016-02-01 |
| 1043680721 | Rhonda Boyd | Rehabilitation Practitioner | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2015-10-06 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487121190 | Nevada Neurofeedback and Hypnosis LLC | Case Management | 3085 S Jones Blvd Ste B, Las Vegas, NV 89146-6767 | 2018-10-31 |
| 1588182760 | Doreen Njoroge | Social Worker · Clinical | 3085 S Jones Blvd Ste E, Las Vegas, NV 89146-6767 | 2017-09-07 |
| 1720376510 | Mobile Mental Health Support Services, Inc. | Community/Behavioral Health | 3085 S Jones Blvd Ste C, Las Vegas, NV 89146-6767 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710573803 | Regina Coward | Counselor | 2965 South Jones Blvd, Suite E1, Las Vegas, NV 89146 | 2020-12-14 |
| 1417550567 | 2d Change Inc. | Counselor | 2725 S. Jones Blvd. Suite 101, Las Vegas, NV 89146 | 2020-11-20 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1386265411 | Andrea Ceron Barberena | Chore Provider | 2001 S Jones Blvd Ste H, Las Vegas, NV 89146 | 2020-04-29 |
| 1740816206 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146 | 2020-03-17 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1538716642 | Katie Thibeaux | Counselor · Mental Health | 6600 W Charleston Blvd Ste 140, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-Sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467046177 | Shakur J Dennis | 4760 S Pecos Rd Ste 203-1, Las Vegas, NV 89121-6038 | 2021-02-23 | |
| 1770177693 | Fredrico Coyce Lovett | 7473 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-0265 | 2021-02-22 | |
| 1891388047 | Stephanie Bangerter | 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130-3455 | 2021-02-18 | |
| 1740872688 | Angelique Hicks | 3650 N Rancho Dr Ste 108, Las Vegas, NV 89130-3151 | 2021-02-10 | |
| 1497347710 | William Howard Mason IIi | 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 | 2021-02-08 | |
| 1497347108 | Cady Marie Olsen | 2810 W Charleston Blvd Ste 77, Las Vegas, NV 89102-1910 | 2021-02-04 | |
| 1043802838 | Anthony Mosley Jr. | 3650 N Rancho Dr Ste 109, Las Vegas, NV 89130-3151 | 2021-02-03 | |
| 1336730233 | Steven Micheal Johnson Jr. | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2021-02-02 | |
| 1013508142 | Bethany Coppa | 4285 N Rancho Dr Ste 130, Las Vegas, NV 89130-3455 | 2021-02-01 | |
| 1255922746 | Megan Dally | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2021-01-28 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240736 | Thomas A. Wicks · Tom Wicks | Chiropractor · Orthopedic | 1000 Brady St, Davenport, IA 52803-5214 | 2005-07-28 |
| 1821376583 | Wicks and Wicks, P.a. | Optometrist | 15 East Plz, Paris, TX 75460-5841 | 2011-07-29 |
| 1316025356 | Maria Regina Landicho Wicks · Gina Landicho Wicks | Family Medicine | 1722 Tagaytay Drive, Fort Bragg, NC 28310-0901 | 2006-11-01 |
| 1386932739 | Doris Fiorillo Wicks · Dodi Fiorillo Wicks | Dietitian, Registered · Nutrition, Metabolic | 19220 Makayla Ln, Cornelius, NC 28031-6527 | 2011-07-19 |
| 1669099404 | Sara Wicks Malone · Sara Wicks | Social Worker · Clinical | 1123 Broadway Ste 319, New York, NY 10010-2093 | 2020-06-27 |
| 1821377615 | Lana Wicks Mcdermott · Lana Catherine Wicks | Dentist · General Practice | 108 5th Ave, Decorah, IA 52101 | 2011-08-10 |
| 1922206226 | Sheila Michelle Wicks · Sheila Michelle Wicks | Specialist | 356 W Superior St, Chicago, IL 60610-3416 | 2007-07-07 |
| 1447221619 | Thomas Jay Wicks | Chiropractor | 551 2nd St, Traer, IA 50675-1138 | 2006-01-27 |
| 1679762389 | Wicks Chiropractic, P.C. | Chiropractor | 551 2nd St, Traer, IA 50675-1138 | 2007-10-18 |
| 1295166544 | Verity, Inc | Chiropractor | 410 Wicks Ln, Billings, MT 59105-4434 | 2013-12-11 |
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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.