Individual provider Active NPI

Surrayya Hollinger

  • Rehabilitation Practitioner
  • North Las Vegas, NV
National Provider Identifier
1609225598
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
702 W. Cheyenne Ave
108
North Las Vegas, NV 89030
Phone
(702) 462-6692
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Rehabilitation Practitioner 225400000X NV Primary

Addresses

Primary practice location

702 W. Cheyenne Ave
108
North Las Vegas, NV 89030

Mailing address

1600 E University Ave Apt 258
Las Vegas, NV 89119-5847
Phone (210) 383-2247

Other practice location 1

1600 E University Ave Apt 258
Las Vegas, NV 89119-5847
Phone (210) 383-2247

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1609225598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E UNIVERSITY AVE APT 258",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195847",
            "telephone_number": "210-383-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W. CHEYENNE AVE",
            "address_2": "108",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "702-462-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E University Ave Apt 258",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195847",
            "country_code": "US",
            "telephone_number": "210-383-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGER",
        "first_name": "SURRAYYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": null,
            "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 May 31, 2018; 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.