Individual provider Active NPI

Steve Henry, ATP/SMS

  • Assistive Technology Supplier Rehabilitation Counselor
  • Las Vegas, NV
National Provider Identifier
1043797772
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier Rehabilitation CounselorTaxonomy code 225CA2500X
License
5426
Practice address
4912 Mondell Rd
Las Vegas, NV 89130-2213
Phone
(702) 235-9023
NPI assigned
Jul 25, 2018
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Rehabilitation Counselor 225CA2500X 5426 Primary

Addresses

Primary practice location

4912 Mondell Rd
Las Vegas, NV 89130-2213

Mailing address

4912 Mondell Rd
Las Vegas, NV 89130-2213
Phone (702) 235-9023

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

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1043797772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 MONDELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302213",
            "telephone_number": "702-235-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 MONDELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302213",
            "telephone_number": "702-235-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "STEVE",
        "credential": "ATP/SMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": null,
            "license": "5426",
            "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 25, 2018; 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.