Active NPI
Danielle Lee Wafer
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1144580846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 8685 S Eastern Ave
Las Vegas, NV 89123-2839 - Phone
- (702) 754-0807
- NPI assigned
- May 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2101563383 | NV | |
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
8685 S Eastern Ave
Las Vegas, NV 89123-2839
Mailing address
303 Tin St
Henderson, NV 89015-7342
Phone (702) 902-6141
Other practice location 1
2165 E Rochelle Ave
33
Las Vegas, NV 89119-5438
Phone (702) 374-9566
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Theranest | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2101563383 | NV | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1144580846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 TIN ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157342",
"telephone_number": "702-902-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232839",
"telephone_number": "702-754-0807"
}
],
"practiceLocations": [
{
"address_1": "2165 E Rochelle Ave",
"address_2": "33",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891195438",
"country_code": "US",
"telephone_number": "702-374-9566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAFER",
"first_name": "DANIELLE",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "2101563383",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Theranest",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8685 S Eastern Ave",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891232839",
"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 Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.