Individual provider Active NPI

Liumaylyn Misa

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1427658590
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517
Phone
(702) 202-0552
Fax
(702) 224-2157
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2560 E Sunset Rd Ste 106
Las Vegas, NV 89120-3517

Mailing address

2300 E Silverado Ranch Blvd
Las Vegas, NV 89183-3966
Phone (702) 202-0552

Other identifiers 1

IdentifierTypeStateIssuer
1706338362OtherNVID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Filezilla Other

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1427658590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833966",
            "telephone_number": "702-202-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E SUNSET RD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203517",
            "telephone_number": "702-202-0552",
            "fax_number": "702-224-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISA",
        "first_name": "LIUMAYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "1706338362",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Filezilla",
            "affiliation": "N",
            "endpointDescription": "Home Health Care",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Home Health CAre",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2560 E Sunset Rd Ste 106",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 28, 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.

Verify at the official NPI Registry.