Active NPI
Nicola Adams
- Rehabilitation Practitioner
- Boulder City, NV
National Provider Identifier
1043899115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 200 Wilson Cir
Boulder City, NV 89005-4401 - Phone
- (702) 294-7100
- Fax
- (702) 294-7171
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Jude'S Ranch for Children | Rehabilitation Practitioner | Current |
Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 Wilson Cir
Boulder City, NV 89005-4401
Mailing address
200 Wilson Cir
Boulder City, NV 89005-4401
Phone (702) 294-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2021.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1043899115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WILSON CIR",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890054401",
"telephone_number": "702-294-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WILSON CIR",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890054401",
"telephone_number": "702-294-7100",
"fax_number": "702-294-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "NICOLA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.