Active NPI
Danielle Wilson
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1003405069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 10447 Gold Shadow Ave
Las Vegas, NV 89129-3316 - Phone
- (702) 385-5331
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
10447 Gold Shadow Ave
Las Vegas, NV 89129-3316
Mailing address
4285 N Rancho Dr Ste 130
Las Vegas, NV 89130-3455
Phone (702) 385-5331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Alternatives for Families and Youth of Nevada, Inc. | Current | Accepting new patients | |
| Specialized Alternatives for Families and Youth of Nevada, Inc. | Rehabilitation Practitioner | Current | Accepting new patients |
Locations
4285 N Rancho Dr
Ste 130
Las Vegas, NV 89130
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foster Care Agency
- Las Vegas, NV
- NPI 1841883386
-
- Adolescent and Children Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1962595348
Rehabilitation Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1003405069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4285 N RANCHO DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303455",
"telephone_number": "702-385-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10447 GOLD SHADOW AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891293316",
"telephone_number": "702-385-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.