Active NPI
Andrea Wilson
- Counselor
- Las Vegas, NV
National Provider Identifier
1477049575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1785 E Sahara Ave
Las Vegas, NV 89104-3733 - Phone
- (702) 562-2348
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1785 E Sahara Ave
Las Vegas, NV 89104-3733
Mailing address
2500 Karen Ave Apt 182
Las Vegas, NV 89121-1123
Phone (661) 974-5143
Other practice location 1
2500 Karen Ave Apt 182
Las Vegas, NV 89121-1123
Phone (661) 974-5143
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.rainbowhelperslv@gmail.com |
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": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1477049575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 KAREN AVE APT 182",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891211123",
"telephone_number": "661-974-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 E SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891043733",
"telephone_number": "702-562-2348"
}
],
"practiceLocations": [
{
"address_1": "2500 Karen Ave Apt 182",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891211123",
"country_code": "US",
"telephone_number": "661-974-5143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.rainbowhelperslv@gmail.com",
"affiliation": "N",
"address_1": "5852 S Pecos Rd Ste 5",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891203490",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 4, 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.