Alexis Emily Portillo

Primary specialty

Social WorkerTaxonomy code 104100000X

License

IC-1763 Issued in NV

Practice address

1515 E Tropicana Ave # 580
Las Vegas, NV 89119-6517

Phone

(702) 898-5311

Fax

(702) 222-3275

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1255903506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 POWELL POINT WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314325",
            "telephone_number": "702-350-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E TROPICANA AVE # 580",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196517",
            "telephone_number": "702-898-5311",
            "fax_number": "702-222-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "ALEXIS",
        "middle_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "IC-1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daimy Portes
• Thaymi Portes
• Portillo Genesis Therapy PLLC
• Maria Argelia Portillo Mendoza
• Jessica Jasmin Portillo Pola
• Alicia Dawn Portillo
• Angela Portillo
• Britney Portillo, RN
• Genghis Portillo, M.D.
• Gloria Nataly Portillo

• Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.