Individual provider Active NPI

Shingkang Sumlut

  • Behavior Technician
  • North Las Vegas, NV
National Provider Identifier
1033914445
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT4876 Issued in NV
Practice address
2550 Nature Park Dr Ste 180
North Las Vegas, NV 89084-3205
Phone
(702) 202-2567
Fax
(888) 353-7336
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT4876 NV Primary

Addresses

Primary practice location

2550 Nature Park Dr Ste 180
North Las Vegas, NV 89084-3205

Mailing address

6935 Aliante Pkwy # 104-399
North Las Vegas, NV 89084-5818
Phone (702) 522-1585

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
RBT4876NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Community Services Inc Behavior Technician CurrentSince Feb 23, 2025 Accepting new patients
Crescent Community Services Inc Behavior Technician CurrentSince Feb 23, 2025 Accepting new patients

Locations

2550 Nature Park Dr
Ste 180
North Las Vegas, NV 89084
Phone (702) 202-2567

6935 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 204-0150

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1033914445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY # 104-399",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "702-522-1585",
            "fax_number": "888-353-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NATURE PARK DR STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843205",
            "telephone_number": "702-202-2567",
            "fax_number": "888-353-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMLUT",
        "first_name": "SHINGKANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT4876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.