Active NPI
Yvonne Penkalski
- Rehabilitation Counselor
- Las Vegas, NV
National Provider Identifier
1619314275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 3686 Red Rock St
Las Vegas, NV 89103-1226 - Phone
- (702) 686-4983
- NPI assigned
- May 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
3686 Red Rock St
Las Vegas, NV 89103-1226
Mailing address
3686 Red Rock St
Las Vegas, NV 89103-1226
Phone (702) 686-4983
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": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1619314275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3686 RED ROCK ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891031226",
"telephone_number": "702-686-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3686 RED ROCK ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891031226",
"telephone_number": "702-686-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENKALSKI",
"first_name": "YVONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"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 May 22, 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.