Active NPI
Shannon Mariah Olivero-Chew, O.T
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1497248249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16342
- Practice address
- 304 S. Jones Blvd
Suite 3511
Las Vegas, NV 89107 - Phone
- (575) 479-7056
- NPI assigned
- Jun 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16342 | CA | Primary |
Addresses
Primary practice location
304 S. Jones Blvd
Suite 3511
Las Vegas, NV 89107
Mailing address
304 S. Jones Blvd
Suite 3511
Las Vegas, NV 89107
Phone (575) 479-7056
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16342 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chynoweth Hill and Leavitt LLC | Past | 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.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1497248249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S. JONES BLVD",
"address_2": "SUITE 3511",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89107",
"telephone_number": "575-479-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 S. JONES BLVD",
"address_2": "SUITE 3511",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89107",
"telephone_number": "575-479-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERO-CHEW",
"first_name": "SHANNON",
"middle_name": "MARIAH",
"name_prefix": "Mrs.",
"credential": "O.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2020-11-16",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16342",
"primary": true
}
],
"identifiers": [],
"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 Nov 16, 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.