Individual provider Active NPI

Samantha Okumura

  • Blind Rehabilitation Specialist/Technologist
  • Las Vegas, NV
National Provider Identifier
1053880831
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
Practice address
701 E Bridger Ave Ste 150
Las Vegas, NV 89101
Phone
(702) 308-5870
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blind Rehabilitation Specialist/Technologist 2255R0406X Primary

Addresses

Primary practice location

701 E Bridger Ave Ste 150
Las Vegas, NV 89101

Mailing address

701 E Bridger Ave Ste 150
Las Vegas, NV 89101-8954
Phone (702) 308-5870

Other practice location 1

900 Karen Ave Ste A116
Las Vegas, NV 89109-5214
Phone (925) 667-6143

Other practice location 2

900 Karen Ave Ste A116
Las Vegas, NV 89109-5214
Phone (925) 667-6143

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1053880831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E BRIDGER AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891018954",
            "telephone_number": "702-308-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E BRIDGER AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89101",
            "telephone_number": "702-308-5870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Karen Ave Ste A116",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891095214",
            "country_code": "US",
            "telephone_number": "925-667-6143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Karen Ave Ste A116",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891095214",
            "country_code": "US",
            "telephone_number": "925-667-6143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUMURA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "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 Mar 3, 2019; 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.