Individual provider Active NPI

Shakara Artis

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1255627410
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
2100 S Maryland Pkwy Ste 5
Las Vegas, NV 89104-3225
Phone
(702) 329-4262
NPI assigned
Jun 24, 2011
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 NU Primary

Addresses

Primary practice location

2100 S Maryland Pkwy Ste 5
Las Vegas, NV 89104-3225

Mailing address

6829 Boulder View St
North Las Vegas, NV 89084-2092
Phone (917) 568-6953

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Neurofeedback and Hypnosis LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

2100 S Maryland Pkwy
Ste 5
Las Vegas, NV 89104
Phone (702) 329-4262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1255627410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 BOULDER VIEW ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842092",
            "telephone_number": "917-568-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MARYLAND PKWY STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043225",
            "telephone_number": "702-329-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIS",
        "first_name": "SHAKARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "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 Jun 5, 2025; 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.