MASHIKO JENNY TAVARES
MASHIKO JENNY LEKANA · Sleep Specialist, PhD

Address: 1711 Songlight Court, Las Vegas, NV 89117

MASHIKO JENNY TAVARES (NPI# 1336762525) 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) 1336762525
Entity Type Individual
Full Name DR. MASHIKO JENNY TAVARES
Other Name MASHIKO JENNY LEKANA (Former Name)
Gender Female
Credential M.D., MPH. R.S.T
Other Credential MD
Practice Address 1711 Songlight Court
Las Vegas
NV 89117
Practice Telephone 7024501120
Practice Fax Number 7023048255
Mailing Address 45 Sunglow Lane
Las Vegas
NV 89135
Mailing Telephone 7023557822
Mailing Fax Number 7023048255
Certification Date 2020-05-21
Enumeration Date 2020-05-21
Last Update Date 2020-05-21
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 173F00000X Sleep Specialist, PhD Other Service Providers

Office Location

Street Address 1711 SONGLIGHT COURT
City LAS VEGAS
State NV
Zip Code 89117

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Taxonomy Information

Taxonomy Code 173F00000X
Grouping Other Service Providers
Classification Sleep Specialist, PhD

Taxonomy Definition

Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org

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1194346627 Alerra Inc Sleep Specialist, PhD 31959 10th Ave # A, Laguna Beach, CA 92651-6838 2020-05-06
1467097154 Kassandra Acuna · Kassandra Ferreira Sleep Specialist, PhD 2305 N Alexander Dr, Baytown, TX 77520-3434 2019-11-17
1225551500 Gafari Ayinde Oyedokun Sleep Specialist, PhD 7815 Mandan Street, Apt 202, Greenbelt, MD 20770 2017-07-19
1649712399 Sleep Health and Wellness Center, Pllc Sleep Specialist, PhD 555 S Wilmington St, Suite 201, Raleigh, NC 27601 2016-11-12
1821446881 University Sleep Disorders Center Sleep Specialist, PhD 183 E University Dr, Auburn, AL 36832-6725 2016-06-01
1568821379 Clinical Research Group Sleep Specialist, PhD 5160 Pooks Hill Rd, Ste 7, Bethesda, MD 20814-2070 2016-02-22
1740646512 Healthy Sleep LLC Sleep Specialist, PhD 100 N Carter St, Suite 12, La Crosse, VA 23950-1911 2016-01-11
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City LAS VEGAS
Zip Code 89117

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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.