Active NPI
Nicole Lynn Atwell, M.ED
- Case Manager/Care Coordinator
- Las Vegas, NV
National Provider Identifier
1174814255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 0000077417
- Practice address
- 516 Bachelor Button St
Las Vegas, NV 89138-6077 - Phone
- (702) 290-1811
- NPI assigned
- Apr 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 0000077417 | NV | Primary |
Addresses
Primary practice location
516 Bachelor Button St
Las Vegas, NV 89138-6077
Mailing address
516 Bachelor Button St
Las Vegas, NV 89138-6077
Phone (702) 290-1811
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000077417 | NV | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1174814255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 BACHELOR BUTTON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386077",
"telephone_number": "702-290-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 BACHELOR BUTTON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386077",
"telephone_number": "702-290-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWELL",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NV",
"license": "0000077417",
"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 25, 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.