Individual provider Active NPI

Johana Albarracin, BA DEGREE IN PSYCHOL

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1245690452
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
5145 Rawhide St
Apt 146
Las Vegas, NV 89122-4801
Phone
(702) 272-3699
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

5145 Rawhide St
Apt 146
Las Vegas, NV 89122-4801

Mailing address

5145 Rawhide St
Apt 146
Las Vegas, NV 89122-4801
Phone (702) 272-3699

Other identifiers 1

IdentifierTypeStateIssuer
1704933411MedicaidNV

Other names 1

  • Johana Maria Albarracin Sanchez Professional name

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
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1245690452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 RAWHIDE ST",
            "address_2": "APT 146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891224801",
            "telephone_number": "702-272-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 RAWHIDE ST",
            "address_2": "APT 146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891224801",
            "telephone_number": "702-272-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBARRACIN",
        "first_name": "JOHANA",
        "credential": "BA DEGREE IN PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704933411",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANA",
            "last_name": "ALBARRACIN SANCHEZ",
            "middle_name": "MARIA",
            "credential": "BA IN PHSYCHOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 1, 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.