Yaimara Pedraja Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1951 Stella Lake St Ste 36
Las Vegas, NV 89106-2144

Phone

(702) 595-8309

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newway Neurotherapy Health and Wellness

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1114589892
  NPD (past)
• Newway Neurotherapy Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1194223495
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1275036832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 ESMERALDA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 STELLA LAKE ST STE 36",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062144",
            "telephone_number": "702-595-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 S Pecos Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891201248",
            "country_code": "US",
            "telephone_number": "702-410-5090",
            "fax_number": "702-405-8951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRAJA MARTINEZ",
        "first_name": "YAIMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103814986",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Gastroenterology Prof Assn
• Pediatric Sub-Specialists of Nevada, LLC
• Pediatric Surgery Associates
• Michael Ronald Pedler, R.N,
• Megan Nicole Pedley, DC
• Malena Caridad Pedrayes Lopez
• America Pedraza
• Diana Pedraza
• Jeanette Pedraza
• Justin Pedraza, MSN, APRN, FNP-BC

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.