Active NPI
Trenise Ralynn Wilson
- Personal Care Attendant
- Las Vegas, NV
National Provider Identifier
1144738402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3700 E Bonanza Rd Apt 2119
Las Vegas, NV 89110-2193 - Phone
- (323) 335-8124
- NPI assigned
- Jan 19, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3700 E Bonanza Rd Apt 2119
Las Vegas, NV 89110-2193
Mailing address
3700 E Bonanza Rd Apt 2119
Las Vegas, NV 89110-2193
Phone (323) 335-8124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2105704841 | Other | NV | IDENTIFICATION CARD |
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": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1144738402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 E BONANZA RD APT 2119",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891102193",
"telephone_number": "323-335-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E BONANZA RD APT 2119",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891102193",
"telephone_number": "323-335-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TRENISE",
"middle_name": "RALYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDENTIFICATION CARD",
"identifier": "2105704841",
"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 Jan 19, 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.