Active NPI
Kianna Akazawa
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1417686338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9735-M
- Practice address
- 5940 S Rainbow Blvd
Las Vegas, NV 89118-2506 - Phone
- (702) 886-0961
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9735-M | NV | Primary |
Addresses
Primary practice location
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Mailing address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (808) 292-6386
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9735-M | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1417686338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "808-292-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "702-886-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKAZAWA",
"first_name": "KIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "9735-M",
"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 Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.