Individual provider Active NPI

Miranda Leah Azbill, BSW

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1366719874
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
2770 S Maryland Pkwy
211
Las Vegas, NV 89109-1554
Phone
(702) 530-6117
NPI assigned
Nov 29, 2011
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 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 NU Primary

Addresses

Primary practice location

2770 S Maryland Pkwy
211
Las Vegas, NV 89109-1554

Mailing address

6166 Meadow View LN
Las Vegas, NV 89103-1126
Phone (702) 772-8582

Other names 1

  • Ms. Miranda Leah Barker Former name

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1366719874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 MEADOW VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031126",
            "telephone_number": "702-772-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S MARYLAND PKWY",
            "address_2": "211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091554",
            "telephone_number": "702-530-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZBILL",
        "first_name": "MIRANDA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "BARKER",
            "middle_name": "LEAH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 29, 2011; 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.