Active NPI
Cornelius Healy, S.W.
- Social Worker
- Sparks, NV
National Provider Identifier
1073813077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00993-S
- Practice address
- 480 Galletti Way
Sparks, NV 89431-5564 - Phone
- (775) 688-2001
- Fax
- (775) 688-2004
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00993-S | NV | Primary |
Addresses
Primary practice location
480 Galletti Way
Sparks, NV 89431-5564
Mailing address
480 Galletti Way
Sparks, NV 89431-5564
Phone (775) 688-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00993-S | Other | NV | SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00993-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1073813077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "775-688-2001",
"fax_number": "775-688-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "775-688-2001",
"fax_number": "775-688-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "CORNELIUS",
"credential": "S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "00993-S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORKER",
"identifier": "00993-S",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.