NPIMap

Organization Active NPI

Diversified Community Services, CDC

  • Nurse Practitioner
  • N Las Vegas, NV
National Provider Identifier
1285029033
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DIVERSIFIED COMMUNITY SERVICES, CDC
Practice address
2820 E Lake Mead Blvd
N Las Vegas, NV 89030-6514
Phone
(702) 749-8500
Fax
(702) 749-8509
NPI assigned
Mar 30, 2015
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Ms. Regina Kaye Rhodes, LSW, MSWNPI 1427290212
Title
Ceo
Phone
(702) 749-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2820 E Lake Mead Blvd
N Las Vegas, NV 89030-6514

Mailing address

2820 E Lake Mead Blvd
N Las Vegas, NV 89030-6514
Phone (702) 749-8500

National Provider Directory

National Provider Directory

Locations

2820 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 265-7651

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1285029033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306514",
            "telephone_number": "702-749-8500",
            "fax_number": "702-749-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306514",
            "telephone_number": "702-749-8500",
            "fax_number": "702-749-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COMMUNITY SERVICES, CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-749-8500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW, MSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Mar 30, 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.

Verify at the official NPI Registry.