DAMIAN ETHEREDGE
NPI 1679959159
Specialist/Technologist, Other - Electroneurodiagnostic in Las Vegas, NV

Q: What is Damian Etheredge's NPI number?

The NPI number for Damian Etheredge is 1679959159. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Q: What is Damian Etheredge's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

Q: When was this NPI record last updated?

The NPPES record for Damian Etheredge was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 06, 2015

3644 S FORT APACHE RD, UNIT 1061, LAS VEGAS, NV 89147(702) 953-2417 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Damian Etheredge NPPES

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

DAMIAN ETHEREDGE (NPI 1679959159) is an individual electroneurodiagnostic provider in Las Vegas, Nevada and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1679959159

Entity TypeIndividualMale

Primary Taxonomy246ZE0600X

Provider Legal NameDAMIAN ETHEREDGE

Location Address3644 S FORT APACHE RD, UNIT 1061Las Vegas, NV 89147-3409

Mailing Address3644 S Fort Apache Rd, Unit 1061Las Vegas, NV 89147-3409 · (702) 953-2417

Phone(702) 953-2417

Sole ProprietorNo

Enumeration DateAugust 6, 2015

✔ NPI 1679959159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZE0600X

3644 S FORT APACHE RD, Las Vegas, NV 89147

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

KENNETH GREENBERG

Behavior Analyst

3644 S FORT APACHE RD
LAS VEGAS, NV 89147

Clark County (205) 799-2501

MR. COREY TYRONE BAILEY

Rehabilitation Practitioner

3644 S FORT APACHE RD
LAS VEGAS, NV 89147

Clark County (702) 443-5539

EMILY DONAR

Behavior Analyst

3644 S FORT APACHE RD
LAS VEGAS, NV 89147

Clark County (702) 332-5698

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 Damian Etheredge's NPI number?

The NPI number for Damian Etheredge is 1679959159. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Damian Etheredge located?

Damian Etheredge practices at 3644 S Fort Apache Rd Unit 1061, Las Vegas, NV 89147. The listed phone number is (702) 953-2417.

What is Damian Etheredge's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Damian Etheredge was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.