Individual provider Active NPI

Shandra E Lamaute, MFA. MSC, MA,

  • Peer Specialist
  • Las Vegas, NV
National Provider Identifier
1023699253
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
1640 Arville St
Las Vegas, NV 89102-3840
Phone
(725) 212-7444
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

1640 Arville St
Las Vegas, NV 89102-3840

Mailing address

204 W Pacific Ave
Henderson, NV 89015-7376
Phone (702) 565-1020

Other practice location 1

204 W Pacific Ave
Henderson, NV 89015-7376
Phone (702) 565-1020

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Social Services Outreach Moving on Up CurrentSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1023699253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W PACIFIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157376",
            "telephone_number": "702-565-1020",
            "fax_number": "702-565-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ARVILLE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023840",
            "telephone_number": "725-212-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157376",
            "country_code": "US",
            "telephone_number": "702-565-1020",
            "fax_number": "702-565-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMAUTE",
        "first_name": "SHANDRA",
        "middle_name": "E",
        "credential": "MFA. MSC, MA,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "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 Apr 19, 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.

Verify at the official NPI Registry.