Individual provider Active NPI

Jaclyn Grace Rykal, AUD

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1316212806
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000727 Issued in IA
Practice address
3131 La Canada St
Las Vegas, NV 89169-2578
Phone
(702) 636-3059
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000727 IA Primary

Addresses

Primary practice location

3131 La Canada St
Las Vegas, NV 89169-2578

Mailing address

650 S Town Center Dr
Apartment #2111
Las Vegas, NV 89144-4419
Phone (715) 222-5036

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1316212806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S TOWN CENTER DR",
            "address_2": "APARTMENT #2111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444419",
            "telephone_number": "715-222-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692578",
            "telephone_number": "702-636-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKAL",
        "first_name": "JACLYN",
        "middle_name": "GRACE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "000727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 15, 2012; 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.