Individual provider Active NPI

Zulma Flores Vazquez

  • Rehabilitation Practitioner
  • North Las Vegas, NV
National Provider Identifier
1306334123
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3925 N MLK Blvd Ste 212
North Las Vegas, NV 89032-7676
Phone
(702) 461-1982
Fax
(702) 644-6260
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3925 N MLK Blvd Ste 212
North Las Vegas, NV 89032-7676

Mailing address

8290 W Sahara Ave Ste 260
Las Vegas, NV 89117-8933
Phone (702) 262-9949

Other practice location 1

8290 W Sahara Ave Ste 260
Las Vegas, NV 89117-8933
Phone (702) 262-9949

Other identifiers 1

IdentifierTypeStateIssuer
1417405358MedicaidNV

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1306334123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 W SAHARA AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178933",
            "telephone_number": "702-262-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 212",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327676",
            "telephone_number": "702-461-1982",
            "fax_number": "702-644-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8290 W Sahara Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891178933",
            "country_code": "US",
            "telephone_number": "702-262-9949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES VAZQUEZ",
        "first_name": "ZULMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417405358",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "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 Oct 3, 2020; 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.