Individual provider Active NPI

Alexis Nicole Nacht

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1033695903
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2830 Issued in NV
Practice address
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Phone
(702) 515-4009
NPI assigned
Jul 13, 2018
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-2830 NV Primary

Addresses

Primary practice location

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334

Mailing address

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425

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

LicenseStateTypeSpecialty
OT-2830NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Sep 23, 2021 Accepting new patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009

7425 W Azure Dr
Ste 140
Las Vegas, NV 89130
Phone (702) 983-3409

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1033695903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S JONES BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183334",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHT",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2830",
            "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 Sep 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.

Verify at the official NPI Registry.