Individual provider Active NPI

Shannon Christine Ruther-Prescott, RTT PRACTITIONER

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1538809645
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
10583 Acacia Park PL
Las Vegas, NV 89135-1243
Phone
(702) 908-1414
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

10583 Acacia Park PL
Las Vegas, NV 89135-1243

Mailing address

10583 Acacia Park PL
Las Vegas, NV 89135-1243
Phone (702) 908-1414

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1538809645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10583 ACACIA PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351243",
            "telephone_number": "702-908-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10583 ACACIA PARK PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351243",
            "telephone_number": "702-908-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHER-PRESCOTT",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "RTT PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "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 Mar 29, 2022; 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.