Individual provider Active NPI

Cyntha A Brady, SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1497999825
Registry record updated May 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1292 Issued in NV
Practice address
1820 E Warm Springs Rd
Suite 112
Las Vegas, NV 89119-4549
Phone
(702) 527-8944
Fax
(702) 586-5030
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1292 NV Primary
Speech-Language Pathologist 235Z00000X SLP1840 ID

Addresses

Primary practice location

1820 E Warm Springs Rd
Suite 112
Las Vegas, NV 89119-4549

Mailing address

2696 Begonia Valley Ave
Henderson, NV 89074-2877
Phone (702) 527-8944

Other identifiers 2

IdentifierTypeStateIssuer
SLP1840OtherIDIDAHO BUREAU OF OCCUPATIONAL LICENSES
SP-1292OtherNVBOARD OF EXAMINERS FOR AUDIOLOGY AND SPEECH PATHOLOGY

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
SLP1840IDMDSpeech-Language Pathologist
SP-1292NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service District 123 Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337990400000",
    "number": "1497999825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 BEGONIA VALLEY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890742877",
            "telephone_number": "702-527-8944",
            "fax_number": "702-568-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E WARM SPRINGS RD",
            "address_2": "SUITE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194549",
            "telephone_number": "702-527-8944",
            "fax_number": "702-586-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "CYNTHA",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2012-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1292",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP1840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BUREAU OF OCCUPATIONAL LICENSES",
            "identifier": "SLP1840",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR AUDIOLOGY AND SPEECH PATHOLOGY",
            "identifier": "SP-1292",
            "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 May 26, 2012; 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.