Individual provider Active NPI

Erik Duquense Badgett, MS, C.AD., CADC-I

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1306140629
Registry record updated Mar 3, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
730 N Eastern Ave
Ste. 110
Las Vegas, NV 89101-2883
Phone
(702) 588-9363
NPI assigned
Dec 29, 2010
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

730 N Eastern Ave
Ste. 110
Las Vegas, NV 89101-2883

Mailing address

1720 Rexford Dr
13B
Las Vegas, NV 89104-2442
Phone (702) 588-9363

Other identifiers 1

IdentifierTypeStateIssuer
122526826MedicaidNV

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1306140629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 REXFORD DR",
            "address_2": "13B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042442",
            "telephone_number": "702-588-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE",
            "address_2": "STE. 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012883",
            "telephone_number": "702-588-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGETT",
        "first_name": "ERIK",
        "middle_name": "DUQUENSE",
        "name_prefix": "Mr.",
        "credential": "MS, C.AD., CADC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122526826",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.