Active NPI
Trudy Safarik
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1083268064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517 - Phone
- (702) 202-0552
- Fax
- (702) 912-1819
- NPI assigned
- Jul 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517
Mailing address
607 Northridge Dr
Boulder City, NV 89005-3024
Phone (805) 660-6148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705174827 | Other | NV | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | filezilla | Health Information Exchange (HIE) | STATE OF NEVADA |
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": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083268064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 NORTHRIDGE DR",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890053024",
"telephone_number": "805-660-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 E SUNSET RD STE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203517",
"telephone_number": "702-202-0552",
"fax_number": "702-912-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFARIK",
"first_name": "TRUDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "1705174827",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "filezilla",
"affiliation": "Y",
"endpointDescription": "home health care",
"affiliationName": "STATE OF NEVADA",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "health information",
"address_1": "415 US Highway 95A S",
"address_2": "SUITE 1-901",
"city": "Fernley",
"state": "NV",
"country_code": "US",
"postal_code": "894089261",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.