Individual provider Active NPI

Ariane Wilmore

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1194181925
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
NV20161155833 Issued in NV
Practice address
1946 Salvation St
Las Vegas, NV 89115-7379
Phone
(702) 530-7131
Fax
(702) 472-8884
NPI assigned
Jan 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Community Health Worker 172V00000X NV20161155833 NV Primary

Addresses

Primary practice location

1946 Salvation St
Las Vegas, NV 89115-7379

Mailing address

1946 Salvation St
Las Vegas, NV 89115-7379
Phone (702) 530-7131

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
NV20161155833NVMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1194181925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 SALVATION ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891157379",
            "telephone_number": "702-530-7131",
            "fax_number": "702-472-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 SALVATION ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891157379",
            "telephone_number": "702-530-7131",
            "fax_number": "702-472-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMORE",
        "first_name": "ARIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "NV20161155833",
            "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 Oct 20, 2016; 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.