Active NPI
Justin Nelson
- Counselor
- N Las Vegas, NV
National Provider Identifier
1417367194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3932 Yellow Mandarin Ave
N Las Vegas, NV 89081-4018 - Phone
- (702) 561-1724
- NPI assigned
- May 2, 2014
- Last updated
- May 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3932 Yellow Mandarin Ave
N Las Vegas, NV 89081-4018
Mailing address
3932 Yellow Mandarin Ave
N Las Vegas, NV 89081-4018
Phone (702) 561-1724
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": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1417367194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 YELLOW MANDARIN AVE",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890814018",
"telephone_number": "702-561-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 YELLOW MANDARIN AVE",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890814018",
"telephone_number": "702-561-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.