Active NPI
Mark S. James, MS, CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1023194362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-774
- Practice address
- 9850 S Maryland Pkwy
Ste a-5 #469
Las Vegas, NV 89183-7146 - Phone
- (702) 401-4017
- Fax
- (702) 616-2526
- NPI assigned
- Oct 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-774 | NV | Primary |
Addresses
Primary practice location
9850 S Maryland Pkwy
Ste a-5 #469
Las Vegas, NV 89183-7146
Mailing address
9850 S Maryland Pkwy
Ste a-5 #469
Las Vegas, NV 89183-7146
Phone (702) 401-4017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503403 | Medicaid | NV |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-774 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1023194362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 S MARYLAND PKWY",
"address_2": "STE A-5 #469",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837146",
"telephone_number": "702-401-4017",
"fax_number": "702-616-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 S MARYLAND PKWY",
"address_2": "STE A-5 #469",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837146",
"telephone_number": "702-401-4017",
"fax_number": "702-616-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "MARK",
"middle_name": "S.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-30",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503403",
"state": "NV"
}
],
"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 May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.