Chikeluba Olisadum, PERSONAL TRAINER

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1311 S Maryland Pkwy
Las Vegas, NV 89104-3309

Phone

(702) 379-7315

NPI assigned

Jun 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A New Mind Health Services Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1538831136
  NPD
• A New Mind Health Services Inc

  • Methadone Clinic
  • Las Vegas, NV
  • NPI 1639653595
  NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447780507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043309",
            "telephone_number": "702-379-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043309",
            "telephone_number": "702-379-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLISADUM",
        "first_name": "CHIKELUBA",
        "name_prefix": "Mr.",
        "credential": "PERSONAL TRAINER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Olinger III
• Ethan Olino
• Racheal Oliphant-Thomas
• Ashley Oliphant, RN
• Charles Oliphant
• Marlena Olisiewicz
• Liliana Oliva Acuna
• Maritza Zenaida Oliva Armas
• Nancy Oliva Guerra
• Alberto Andres Oliva Lopez

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.