Active NPI
Chinazor Thelma Ezeli
- Rehabilitation Counselor
- Las Vegas, NV
National Provider Identifier
1043799216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 2800 W Sahara Ave Ste 6C
Las Vegas, NV 89102-4383 - Phone
- (702) 720-9037
- NPI assigned
- Aug 8, 2018
- Last updated
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
2800 W Sahara Ave Ste 6C
Las Vegas, NV 89102-4383
Mailing address
149 Tyler CT
Henderson, NV 89074-0660
Phone (702) 610-4190
Other names 1
- Chinazor Thelma Ezeli
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Vegas | Past | 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, 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": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1043799216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 TYLER CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890740660",
"telephone_number": "702-610-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W SAHARA AVE STE 6C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891024383",
"telephone_number": "702-720-9037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELI",
"first_name": "CHINAZOR",
"middle_name": "THELMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHINAZOR",
"last_name": "EZELI",
"middle_name": "THELMA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
- Dolue David Ezeanolue, MD
- Echezona Edozie Ezeanolue, M.D.
- Edozie Ezeanolue, MD
- Kanayo Afamefina Ezeanolue, MD
- Ezeanolue, MD, Precision Surgery Center of Las Vegas, PLLC (Precision Surgery Center)
- Gillian Ezell
- Layla Nicole Ezell, RBT
- Maya L Ezell
- Chinomso D Ezenwata, NP-C
- Munachi Queena Ezenwata, FNP, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.