Individual provider Active NPI

Ana Louisa Bracamonte, MFTI

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1144511759
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0246 Issued in NV
Practice address
3921 Hampton Grove CT
Las Vegas, NV 89129-7922
Phone
(702) 466-4448
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI0246 NV Primary

Addresses

Primary practice location

3921 Hampton Grove CT
Las Vegas, NV 89129-7922

Mailing address

3921 Hampton Grove CT
Las Vegas, NV 89129-7922
Phone (702) 466-4448

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

LicenseStateTypeSpecialty
MI0246NVMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1144511759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 HAMPTON GROVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297922",
            "telephone_number": "702-466-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 HAMPTON GROVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297922",
            "telephone_number": "702-466-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTE",
        "first_name": "ANA",
        "middle_name": "LOUISA",
        "name_prefix": "Mrs.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0246",
            "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 Apr 29, 2011; 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.