Active NPI
Mary Boyd, RN
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
National Provider Identifier
1265814792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- RN12926
- Practice address
- 2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242 - Phone
- (702) 228-8520
- Fax
- (702) 448-7205
- NPI assigned
- Jun 20, 2015
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | RN12926 | NV | Primary |
Addresses
Primary practice location
2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242
Mailing address
7012 Edwin Aldrin Cir
Las Vegas, NV 89145-6127
Phone (702) 363-3339
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN12926 | NV | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434758400000",
"number": "1265814792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 EDWIN ALDRIN CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891456127",
"telephone_number": "702-363-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD STE E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466242",
"telephone_number": "702-228-8520",
"fax_number": "702-448-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MARY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-20",
"last_updated": "2015-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NV",
"license": "RN12926",
"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 Jun 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.