Active NPI
Barry Nixon
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1104100023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4520 S Pecos Rd Ste 3
Las Vegas, NV 89121-5937 - Phone
- (702) 485-2191
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | |||
| Community Health Worker | 172V00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4520 S Pecos Rd Ste 3
Las Vegas, NV 89121-5937
Mailing address
6501 W Charleston Blvd Apt 170
Las Vegas, NV 89146-1096
Phone (725) 200-9541
Other practice location 1
6600 Candleberry Rd
Las Vegas, NV 89103-3158
Phone (702) 481-3989
Other practice location 2
7390 W Sahara Ave Ste 260
Las Vegas, NV 89117-2765
Phone (702) 852-2455 ext. 1021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Other | NV | REHABILITATION PRACTIONER |
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
Interoperability endpoints
- https://api.platform.athenahealth.com/17431/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104100023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 W CHARLESTON BLVD APT 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461096",
"telephone_number": "725-200-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 S PECOS RD STE 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215937",
"telephone_number": "702-485-2191"
}
],
"practiceLocations": [
{
"address_1": "6600 Candleberry Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891033158",
"country_code": "US",
"telephone_number": "702-481-3989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7390 W Sahara Ave Ste 260",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891172765",
"country_code": "US",
"telephone_number": "702-852-2455 x1021",
"fax_number": "702-265-5065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIXON",
"first_name": "BARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHABILITATION PRACTIONER",
"identifier": "225400000X",
"state": "NV"
}
],
"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 17, 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.