Individual provider Active NPI

Heather Mehudar, PH.D., LMT, REV, RM

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1619221850
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1964 Issued in NV
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

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MEHUDARNVMDPastoral Counselor
1964NVMDMassage 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.

Verify at the official NPI Registry.