Deangelo Dubois Cole, BST

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5175 Camino Al Norte
Suite 100
North Las Vegas, NV 89031-2407

Phone

(702) 648-3913

Fax

(702) 868-8357

NPI assigned

Mar 26, 2013

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1518209733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 BEVERLY HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474981",
            "telephone_number": "314-494-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 CAMINO AL NORTE",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312407",
            "telephone_number": "702-648-3913",
            "fax_number": "702-868-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "DEANGELO",
        "middle_name": "DUBOIS",
        "name_prefix": "Mr.",
        "credential": "BST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roosevelt Cohens, LPC
• Santerous Glenn Colbert Jr., LMSW
• April J. Cole, DDS, MBA
• Brandy Cole
• Darrell Dewyn Cole
• Earnest Cole
• Felice Cole
• Kennedy Cole
• Ryan Markell Cole
• Larhonda Tanae Coleman-Braddy

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.