Active NPI
Samantha Longmore
- Behavior Analyst
- N Las Vegas, NV
National Provider Identifier
1508489485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3435 W Craig Rd Ste B
N Las Vegas, NV 89032-5116 - NPI assigned
- May 26, 2020
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | OR | Primary |
Addresses
Primary practice location
3435 W Craig Rd Ste B
N Las Vegas, NV 89032-5116
Mailing address
5370 E Craig Rd
Las Vegas, NV 89115-2100
Other practice location 1
3435 W Craig Rd Ste B
N Las Vegas, NV 89032-5116
Other practice location 2
5370 E Craig Rd Apt 1026
Las Vegas, NV 89115-2515
Other practice location 3
3435 W Craig Rd Apt 1026
North Las Vegas, NV 89032-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-1787155 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.newleaffamilyservices.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": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1508489485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 E CRAIG RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891152100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W CRAIG RD STE B",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890325116"
}
],
"practiceLocations": [
{
"address_1": "3435 W Craig Rd Ste B",
"address_purpose": "LOCATION",
"city": "N Las Vegas",
"state": "NV",
"postal_code": "890325116",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5370 E Craig Rd Apt 1026",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891152515",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3435 W Craig Rd Apt 1026",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890325115",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGMORE",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-1787155",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.newleaffamilyservices.com",
"affiliation": "N",
"address_1": "3435 W Craig Rd Ste B",
"city": "N Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "890325116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in N 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, 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.