Active NPI
Alison Elaine Lanctot
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
National Provider Identifier
1013391788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 00017 - I
- Practice address
- 2975 S Rainbow Blvd Ste J
Las Vegas, NV 89146-6598 - Phone
- (702) 228-8520
- NPI assigned
- Jul 13, 2015
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 00017 - I | NV | Primary |
Addresses
Primary practice location
2975 S Rainbow Blvd Ste J
Las Vegas, NV 89146-6598
Mailing address
3729 Cooper Key Court
Las Vegas, NV 89129
Phone (702) 308-7975
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00017 - I | NV | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1013391788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3729 COOPER KEY COURT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-308-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD STE J",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466598",
"telephone_number": "702-228-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCTOT",
"first_name": "ALISON",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NV",
"license": "00017 - I",
"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 Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.