Active NPI
Heidi Lynn Dewitt
- Behavior Technician
- North Las Vegas, NV
National Provider Identifier
1508341983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-83430
- Practice address
- 3850 W Ann Rd Ste 120
North Las Vegas, NV 89031-4407 - Phone
- (702) 248-8866
- Fax
- (702) 323-6613
- NPI assigned
- Oct 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-83430 | NV | Primary |
Addresses
Primary practice location
3850 W Ann Rd Ste 120
North Las Vegas, NV 89031-4407
Mailing address
2740 S Jones Blvd
Las Vegas, NV 89146-5398
Phone (702) 248-8866
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 |
|---|---|---|---|
| RBT-19-83430 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1508341983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465398",
"telephone_number": "702-248-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 W ANN RD STE 120",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314407",
"telephone_number": "702-248-8866",
"fax_number": "702-323-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "HEIDI",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "RBT-19-83430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.