DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JEANIE RIVADELO

MEDICARE: JEANIE RIVADELO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA-1700NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780530576
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANIE RIVADELO
Provider Business Mailing Address
First Line : 3435 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3435 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5116
Country : US
Telephone Number : 702-929-3297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

Similar Medicare Providers

1255287033 — DEVONNA ALLEN
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-929-3297
Practice Fax:
1659227437 — TANARIA BARKINS
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-929-3297
Practice Fax:
1134270390 — DR. CHARLES E. GRAHAM M.D.
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-733-6673
Practice Fax:
1124216353 — CHARLES E GRAHAM MD LTD
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-733-6673
Practice Fax: 702-633-0077
1629309208 — ERICKA L SEVERS LCSW
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-675-6314
Practice Fax: 702-476-9697
1528384260 — NAIDA MARIE PARSON PHD
Practice Location Address:
3435 W CRAIG RD STE A
NORTH LAS VEGAS, NV
89032-5116
Practice Phone: 702-675-6314
Practice Fax: 702-476-9697

Directions to “ JEANIE RIVADELO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.