Active NPI
Mercedes Apolina Gurrola
- Behavior Technician
- Henderson, NV
National Provider Identifier
1598164808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-351600
- Practice address
- 236 Carson Way
Henderson, NV 89015-7007 - Phone
- (702) 763-0165
- NPI assigned
- Aug 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24-351600 | NV | Primary |
Addresses
Primary practice location
236 Carson Way
Henderson, NV 89015-7007
Mailing address
236 Carson Way
Henderson, NV 89015-7007
Phone (702) 763-0165
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-351600 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1598164808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 CARSON WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157007",
"telephone_number": "702-763-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 CARSON WAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157007",
"telephone_number": "702-763-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURROLA",
"first_name": "MERCEDES",
"middle_name": "APOLINA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "24-351600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.