Individual provider Active NPI

Lamonica Hefner

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1558074534
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1951 Stella Lake St Ste 36
Las Vegas, NV 89106-2144
Phone
(702) 595-8309
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

1951 Stella Lake St Ste 36
Las Vegas, NV 89106-2144

Mailing address

1951 Stella Lake St Ste 36
Las Vegas, NV 89106-2144
Phone (702) 595-8309

Other identifiers 1

IdentifierTypeStateIssuer
1706053797OtherNVDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL imageofgreatness@gmail.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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1558074534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 STELLA LAKE ST STE 36",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062144",
            "telephone_number": "702-595-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 STELLA LAKE ST STE 36",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062144",
            "telephone_number": "702-595-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "LAMONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "1706053797",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "imageofgreatness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "imageofgreatness@gmail.com",
            "address_1": "1951 Stella Lake St Ste 36",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891062144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 4, 2023; 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.