Active NPI
Heather Mehudar, PH.D., LMT, REV, RM
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1619221850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1964
- Practice address
- 2800 S. Eastern Ave.
Suite: 509
Las Vegas, NV 89169-1843 - Phone
- (702) 477-5927
- NPI assigned
- Nov 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1964 | NV | Primary |
| Pastoral Counselor | 101YP1600X | MEHUDAR | NV |
Addresses
Primary practice location
2800 S. Eastern Ave.
Suite: 509
Las Vegas, NV 89169-1843
Mailing address
2800 S. Eastern Ave.
Suite: 509
Las Vegas, NV 89169-1843
Phone (702) 477-5927
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEHUDAR | NV | MD | Pastoral Counselor |
| 1964 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1619221850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S. EASTERN AVE.",
"address_2": "SUITE: 509",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691843",
"telephone_number": "702-477-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S. EASTERN AVE.",
"address_2": "SUITE: 509",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691843",
"telephone_number": "702-477-5927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHUDAR",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PH.D., LMT, REV, RM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "1964",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NV",
"license": "MEHUDAR",
"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 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.