Individual provider Active NPI

Ashleigh Edwards

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1265749246
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
4588 N Rancho Dr Ste 12
Las Vegas, NV 89130-3429
Phone
(702) 375-2861
NPI assigned
Sep 11, 2010
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4588 N Rancho Dr Ste 12
Las Vegas, NV 89130-3429

Mailing address

4588 N Rancho Dr Ste 12
Las Vegas, NV 89130-3429
Phone (702) 375-2861

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2010.

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1265749246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 N RANCHO DR STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303429",
            "telephone_number": "702-375-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 N RANCHO DR STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303429",
            "telephone_number": "702-375-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ASHLEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "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 Sep 11, 2010; 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.