Individual provider Active NPI

Annah-Lizah Vaquilar Meadors, LMFT

  • Marriage & Family Therapist
  • North Las Vegas, NV
National Provider Identifier
1609176114
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT01145 Issued in NV
Practice address
4538 W Craig Rd Ste 290
North Las Vegas, NV 89032-2511
Phone
(702) 486-5614
Fax
(702) 486-5630
NPI assigned
Oct 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT01145 NV Primary

Addresses

Primary practice location

4538 W Craig Rd Ste 290
North Las Vegas, NV 89032-2511

Mailing address

4356 Hera Temple Ave
North Las Vegas, NV 89031-3459
Phone (702) 373-5474

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
MFT01145NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1609176114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4356 HERA TEMPLE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313459",
            "telephone_number": "702-373-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD STE 290",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322511",
            "telephone_number": "702-486-5614",
            "fax_number": "702-486-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "ANNAH-LIZAH",
        "middle_name": "VAQUILAR",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MFT01145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 13, 2020; 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.