Individual provider Active NPI

Talia Amalia Brooks Garcia

  • Homemaker
  • Las Vegas, NV
National Provider Identifier
1447758487
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
NV20161065817 Issued in NV
Practice address
4550 W Oakey Blvd Ste 111-O
Las Vegas, NV 89102-1581
Phone
(702) 861-0238
Fax
(702) 938-5896
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X NV20161065817 NV Primary

Addresses

Primary practice location

4550 W Oakey Blvd Ste 111-O
Las Vegas, NV 89102-1581

Mailing address

5320 Padua Way
Las Vegas, NV 89107-0404
Phone (702) 472-1975

Other practice location 1

2770 S Maryland Pkwy Ste 211
Las Vegas, NV 89109-1565
Phone (702) 844-8107

Other identifiers 1

IdentifierTypeStateIssuer
1821520016MedicaidNV

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
NV20161065817NVMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
A & T Mind Wellness Center LLC CurrentSince Apr 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1447758487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 PADUA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891070404",
            "telephone_number": "702-472-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 111-O",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021581",
            "telephone_number": "702-861-0238",
            "fax_number": "702-938-5896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 S Maryland Pkwy Ste 211",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091565",
            "country_code": "US",
            "telephone_number": "702-844-8107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS GARCIA",
        "first_name": "TALIA",
        "middle_name": "AMALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "NV",
            "license": "NV20161065817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821520016",
            "state": "NV"
        }
    ],
    "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 Jul 24, 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.