Caldwell Genomicare PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

NV20141102535 Issued in NV

Legal business name

CALDWELL GENOMICARE PLLC

Doing business as

Genomicare

Practice address

5115 S Durango Dr
Las Vegas, NV 89113-0189

Phone

(702) 478-2524

NPI assigned

Apr 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara C Caldwell, APRN

Title

Director

Phone

(702) 478-2524

Specialties & licenses 1

Addresses

Other names 1

• Genomicare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1720408081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130189",
            "telephone_number": "702-478-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130189",
            "telephone_number": "702-478-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL GENOMICARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-478-2524",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NV",
            "license": "NV20141102535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genomicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayquel Calderon
• Rosemary Calderon
• Sonia Calderon
• Donna Marie Caldrone MC Neece, LCSW
• Maegan M Caldrone, PT
• Aishia Lanay Caldwell
• Christine Monee Caldwell, LMSW
• Christopher David Caldwell, MA, MFT
• Claudia Caldwell
• Crystal L Caldwell

• Multi-Specialty Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.