Active NPI
Talia Amalia Brooks Garcia
- Homemaker
- Las Vegas, NV
National Provider Identifier
1447758487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- NV20161065817
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821520016 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NV20161065817 | NV | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & T Mind Wellness Center LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1821731712
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.