Individual provider Active NPI

Kathryn Steblay

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1437454345
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW-2877-0 Issued in HI
Practice address
4160 S Pecos Rd Ste 17
Las Vegas, NV 89121-5027
Phone
(702) 332-8777
NPI assigned
Jan 24, 2011
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01631-L NV
Social Worker 104100000X LSW-2877-0 HI Primary

Addresses

Primary practice location

4160 S Pecos Rd Ste 17
Las Vegas, NV 89121-5027

Mailing address

270 Hookahi St
Wailuku, HI 96793-1466

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

LicenseStateTypeSpecialty
01631-LNVMDAddiction (Substance Use Disorder) Counselor
LSW-2877-0HIMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1437454345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HOOKAHI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 17",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "702-332-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBLAY",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01631-L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW-2877-0",
            "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 Mar 25, 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.

Verify at the official NPI Registry.