Active NPI
Taffani Hendrix
- Behavior Analyst
- N Las Vegas, NV
National Provider Identifier
1265736383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2101199497
- Practice address
- 720 W Cheyenne Ave Ste 30
N Las Vegas, NV 89030-7817 - Phone
- (702) 487-5665
- NPI assigned
- Jan 4, 2011
- Last updated
- Jan 4, 2011
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2101199497 | NV | Primary |
Addresses
Primary practice location
720 W Cheyenne Ave Ste 30
N Las Vegas, NV 89030-7817
Mailing address
4500 Montebello Ave
Las Vegas, NV 89110-3389
Phone (702) 497-2668
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 |
|---|---|---|---|
| 2101199497 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Nevada Children First | Past | Accepting new patients | |
| Southern Nevada Children First | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1437384229
-
- Mental Illness Community Based Residential Treatment Facility
- North Las Vegas, NV
- NPI 1457760464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1265736383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MONTEBELLO AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103389",
"telephone_number": "702-497-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W CHEYENNE AVE STE 30",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890307817",
"telephone_number": "702-487-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "TAFFANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "2101199497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.