Individual provider Active NPI

Ambica Woodson

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1437587482
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
401 N Buffalo Dr Ste 202
Las Vegas, NV 89145-0397
Phone
(702) 527-7661
Fax
(702) 527-7662
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

401 N Buffalo Dr Ste 202
Las Vegas, NV 89145-0397

Mailing address

401 N Buffalo Dr Ste 202
Las Vegas, NV 89145-0397
Phone (702) 527-7661

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1437587482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BUFFALO DR STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450397",
            "telephone_number": "702-527-7661",
            "fax_number": "702-527-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BUFFALO DR STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450397",
            "telephone_number": "702-527-7661",
            "fax_number": "702-527-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "AMBICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "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 Oct 29, 2013; 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.