Individual provider Active NPI

Marieta A Narciso

  • Contractor
  • Las Vegas, NV
National Provider Identifier
1144521626
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
3933 Captain Jon Ave
Las Vegas, NV 89104-5024
Phone
(702) 239-8254
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NV Primary

Addresses

Primary practice location

3933 Captain Jon Ave
Las Vegas, NV 89104-5024

Mailing address

3933 Captain Jon Ave
Las Vegas, NV 89104-5024
Phone (702) 239-8254

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1144521626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 CAPTAIN JON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045024",
            "telephone_number": "702-239-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 CAPTAIN JON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045024",
            "telephone_number": "702-239-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCISO",
        "first_name": "MARIETA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NV",
            "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 Nov 15, 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.

Verify at the official NPI Registry.