Active NPI
Rebecca Sultan, CADCI,
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1265680433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0928-I
- Practice address
- 10050 Banburry Cross Dr
Las Vegas, NV 89144-7056 - Phone
- (702) 290-2752
- Fax
- (702) 946-0866
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0928-I | NV | Primary |
Addresses
Primary practice location
10050 Banburry Cross Dr
Las Vegas, NV 89144-7056
Mailing address
10050 Banburry Cross Dr
Las Vegas, NV 89144-7056
Phone (702) 290-2752
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 |
|---|---|---|---|
| 0928-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1265680433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 BANBURRY CROSS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891447056",
"telephone_number": "702-290-2752",
"fax_number": "702-946-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 BANBURRY CROSS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891447056",
"telephone_number": "702-290-2752",
"fax_number": "702-946-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "REBECCA",
"credential": "CADCI,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "0928-I",
"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 Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.