Nicole Anderson
Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV
NPI 1447517693 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1447517693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 3252 Palio Ave
Las Vegas, NV 89141-3433 - Phone
- (702) 217-8244
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
3252 Palio Ave
Las Vegas, NV 89141-3433
Mailing address
3252 Palio Ave
Las Vegas, NV 89141-3433
Phone (702) 217-8244
NPI Registry JSON
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1447517693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3252 PALIO AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413433",
"telephone_number": "702-217-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 PALIO AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413433",
"telephone_number": "702-217-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2012-04-12",
"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
- Monique Anderson
- Myrna R Anderson
- Nancy Anderson
- Naquisha Anderson
- Natasha Anderson
- Nicole A Anderson
- Norine Anderson
- Nyleen Anderson
- Pamelya Mimi Anderson
- Patricia Anderson
All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.