Individual provider Active NPI

Beth Traylor, M.D.

  • Adult Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1235329194
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
9612 Issued in NV
Practice address
330 S Rampart Blvd Ste 350
Las Vegas, NV 89145-5754
Phone
(702) 308-0500
Fax
(702) 341-1678
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G72275 CA
Adult Medicine Physician 207QA0505X 9612 NV Primary

Addresses

Primary practice location

330 S Rampart Blvd Ste 350
Las Vegas, NV 89145-5754

Mailing address

11251 Emory Oak Dr
Las Vegas, NV 89138-6123
Phone (702) 341-1653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112002487 NV Order and Referring Only - Family PracticePractitioner - Family Practice 4789994252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72275CAMDAdult Medicine Physician
9612NVMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1235329194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11251 EMORY OAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386123",
            "telephone_number": "702-341-1653",
            "fax_number": "702-341-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S RAMPART BLVD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455754",
            "telephone_number": "702-308-0500",
            "fax_number": "702-341-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G72275",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "9612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.