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LILLIE JACKSON
NPI 1649626417
Rehabilitation Practitioner in Las Vegas, NV

Active since May 10, 2016
3680 N RANCHO DR, LAS VEGAS, NV 89130(702) 646-5437 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lillie Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIE JACKSON (NPI 1649626417) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1649626417
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLILLIE JACKSON
Location Address3680 N RANCHO DRLas Vegas, NV 89130-3180
Mailing Address3680 N Rancho DrLas Vegas, NV 89130-3180
Phone(702) 646-5437
Sole ProprietorNo
Enumeration DateMay 10, 2016
✔ NPI 1649626417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3680 N RANCHO DR, Las Vegas, NV 89130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUADALUPE MAGALLANES
Behavior Analyst
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 869-4300
MISS GUADALUPE SANTILLAN
Behavior Analyst
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 869-4300
MR. LARRY RICHARD TROYAN JR.
Behavior Analyst
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 869-4300
THEODORE LUNA-STUPEC
Rehabilitation Practitioner
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 543-7228
STEVEN SYLVESTER
Rehabilitation Practitioner
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 646-5437
TAMIA MCGARRY
Rehabilitation Practitioner
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 646-5437
RACHEL ROSENSTEIN
Behavior Analyst
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 869-4300
KEJUAN PATRICK CLARK
Behavior Analyst
3680 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 869-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillie Jackson's NPI number?

The NPI number for Lillie Jackson is 1649626417. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Lillie Jackson located?

Lillie Jackson practices at 3680 N Rancho Dr, Las Vegas, NV 89130. The listed phone number is (702) 646-5437.

What is Lillie Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Lillie Jackson was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.