Organization Active NPI

Nicholas Crutcher

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1619346244
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NICHOLAS CRUTCHER
Practice address
800 W Bonanza Rd
Las Vegas, NV 89106-3525
Phone
(702) 968-0231
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Nicholas Crutcher
Title
Basic Skills Trainer
Phone
(702) 968-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

800 W Bonanza Rd
Las Vegas, NV 89106-3525

Mailing address

800 W Bonanza Rd
Las Vegas, NV 89106-3525
Phone (702) 968-0231

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1619346244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063525",
            "telephone_number": "702-968-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063525",
            "telephone_number": "702-968-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS CRUTCHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "CRUTCHER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "BASIC SKILLS TRAINER",
        "authorized_official_telephone_number": "702-968-0231"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Sep 24, 2015; 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.