Individual provider Active NPI

Tayara R Eberhart

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1558836841
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
IC-2318 Issued in NV
Practice address
2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332
Phone
(702) 685-0877
NPI assigned
Oct 12, 2018
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IC-2318 NV Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332

Mailing address

3645 Tripoli Cove Ave
Las Vegas, NV 89106-1105
Phone (702) 466-9020

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

State licenses

LicenseStateTypeSpecialty
IC-2318NVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Clinicians PA Social Worker CurrentSince Jan 1, 2025 Accepting new patients
Insight Therapy Solutions LLC Social Worker CurrentSince Nov 19, 2023 Accepting new patients

Locations

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1558836841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 TRIPOLI COVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061105",
            "telephone_number": "702-466-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024332",
            "telephone_number": "702-685-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "TAYARA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "IC-2318",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 13, 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.