Active NPI
Wizza Kelly
- Doula
- North Las Vegas, NV
National Provider Identifier
1265920482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 5960 Palmilla St Unit 10
North Las Vegas, NV 89031-4144 - Phone
- (702) 738-9741
- NPI assigned
- Apr 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
5960 Palmilla St Unit 10
North Las Vegas, NV 89031-4144
Mailing address
5960 Palmilla St Unit 10
North Las Vegas, NV 89031-4144
Phone (702) 738-9741
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wizzakelly6@lifecreationdoulaservices.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642204800000",
"number": "1265920482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 PALMILLA ST UNIT 10",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314144",
"telephone_number": "702-738-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5960 PALMILLA ST UNIT 10",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314144",
"telephone_number": "702-738-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "WIZZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2022-01-15",
"certification_date": "2022-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wizzakelly6@lifecreationdoulaservices.com",
"affiliation": "N",
"address_1": "5960 Palmilla St Unit 10",
"city": "North Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "890314144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North 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 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.