Kids Turf Academy II, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

20000108590101 Issued in NV

Legal business name

KIDS TURF ACADEMY II, LLC

Practice address

1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924

Phone

(702) 453-8877

Fax

(702) 453-8874

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Linnette HarrisNPI 1205222924

Title

Director

Phone

(702) 491-1265

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Linnette Harris

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1205222924
  Authorized official Same address or phone

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1194955096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835924",
            "telephone_number": "702-453-8877",
            "fax_number": "702-453-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835924",
            "telephone_number": "702-453-8877",
            "fax_number": "702-453-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TURF ACADEMY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LINNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-491-1265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "20000108590101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selwyn A Kidney, MD
• Natalie Kido
• Kids Choice Pediatric Dentistry, LLC
• Kids Therapy LV Corporation
• Kids Therapy Place, LLC
• Walter M Kidwell, MD
• Emma Kiefer
• Jillian Kieffer
• Alexander James Kieger, M.D.
• Shannon Kiehm

• Exclusive Provider Organization in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Exclusive Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.