Active NPI
Quianna Willard, OTR/L
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1194552232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-3545
- Practice address
- 7365 Prairie Falcon Rd Ste 110
Las Vegas, NV 89128-0808 - Phone
- (702) 462-5252
- NPI assigned
- Sep 13, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-3545 | NV | Primary |
Addresses
Primary practice location
7365 Prairie Falcon Rd Ste 110
Las Vegas, NV 89128-0808
Mailing address
2020 Diamond Brook CT
Las Vegas, NV 89117-1865
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 |
|---|---|---|---|
| OT-3545 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1194552232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 DIAMOND BROOK CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 PRAIRIE FALCON RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280808",
"telephone_number": "702-462-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "QUIANNA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-3545",
"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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.