Active NPI
Nicole Danielle Dubois, OTR
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1265651673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111318
- Practice address
- 6021 W Cheyenne Ave
Las Vegas, NV 89108-4205 - Phone
- (702) 346-1400
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111318 | TX | Primary |
Addresses
Primary practice location
6021 W Cheyenne Ave
Las Vegas, NV 89108-4205
Mailing address
7007 S Meadow Dr
Orange, TX 77630-8433
Phone (512) 796-7713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111318 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265651673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 S MEADOW DR",
"city": "ORANGE",
"state": "TX",
"postal_code": "776308433",
"telephone_number": "512-796-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 W CHEYENNE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084205",
"telephone_number": "702-346-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "NICOLE",
"middle_name": "DANIELLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111318",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.