Judith Carol Baron, BS
Individual provider Active NPI Rehabilitation Practitioner · Henderson, NV
NPI 1053879262 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1053879262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 204 W Pacific Ave
Henderson, NV 89015-7376 - Phone
- (702) 565-1020
- Fax
- (702) 565-1035
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
204 W Pacific Ave
Henderson, NV 89015-7376
Mailing address
204 W Pacific Ave
Henderson, NV 89015-7376
Phone (702) 565-1020
Other providers in Henderson, NV
- Maykala Rayon Barnett
- Logan Riley Barnewolt
- Dawn Howard Barney
- Jennifer Barnum
- Elisa Baro
- Karren May Barona
- Guersom Barrantes
- Jonathan Barraza
- Rafael Alonzo Barraza
- Barrera Psychological Services Center
All providers in Henderson, NV · Rehabilitation Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.