Active NPI
Ralph Kevin Spencer
- Health Educator
- Las Vegas, NV
National Provider Identifier
1619300993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3025 Yankee Clipper Dr
Las Vegas, NV 89117-3510 - Phone
- (702) 712-8558
- Fax
- (702) 272-2303
- NPI assigned
- Aug 9, 2013
- Last updated
- Aug 9, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
3025 Yankee Clipper Dr
Las Vegas, NV 89117-3510
Mailing address
3025 Yankee Clipper Dr
Las Vegas, NV 89117-3510
Phone (702) 712-8558
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformations & Life Consultations, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1871926071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1619300993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 YANKEE CLIPPER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173510",
"telephone_number": "702-712-8558",
"fax_number": "702-272-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 YANKEE CLIPPER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173510",
"telephone_number": "702-712-8558",
"fax_number": "702-272-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "RALPH",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.