Individual provider Active NPI

Erica Y Serrano

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1548604176
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481
Phone
(702) 992-0576
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481

Mailing address

4160 S Pecos Rd Ste 18
Las Vegas, NV 89121-5027
Phone (702) 396-3464

Other practice location 1

4160 S Pecos Rd Ste 18
Las Vegas, NV 89121-5027
Phone (702) 396-3464

Other practice location 2

6360 S Pecos Rd Ste 4
Las Vegas, NV 89120-3295
Phone (702) 816-3400

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548604176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "702-396-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481",
            "telephone_number": "702-992-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 S Pecos Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215027",
            "country_code": "US",
            "telephone_number": "702-396-3464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6360 S Pecos Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203295",
            "country_code": "US",
            "telephone_number": "702-816-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ERICA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "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 Jul 21, 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.