Active NPI
Christopher Boadt
- Peer Specialist
- Las Vegas, NV
National Provider Identifier
1376147702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 714 E Sahara Ave Ste 103714E
Las Vegas, NV 89104-2942 - Phone
- (702) 369-8700
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
714 E Sahara Ave Ste 103714E
Las Vegas, NV 89104-2942
Mailing address
714 E Sahara Ave Ste 103714E
Las Vegas, NV 89104-2942
Phone (702) 369-8700
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": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1376147702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 E SAHARA AVE STE 103714E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891042942",
"telephone_number": "702-369-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 E SAHARA AVE STE 103714E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891042942",
"telephone_number": "702-369-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOADT",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- BMB Healthcare Partners LLC
- BMSC HMO LLC
- BMSC NV LLC
- BNG Consulting LLC Dba Academy of Human Development
- BNT Orthodontics, LLC
- Board of Regents Nevada System of Higher Education
- Board of Regents Nevada System of Higher Education
- Board of Regents Nevada System of Higher Education
- Board of Regents Nevada System of Higher Education
- Board of Regents, Nevada System of Higher Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.