Individual provider Active NPI

Melissa Scavetta

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1619412905
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
4525 S Sandhill Rd
Ste. 103
Las Vegas, NV 89121-5954
Phone
(702) 741-1938
Fax
(702) 778-5283
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

4525 S Sandhill Rd
Ste. 103
Las Vegas, NV 89121-5954

Mailing address

4525 S Sandhill Rd
Ste. 103
Las Vegas, NV 89121-5954
Phone (702) 741-1938

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1619412905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD",
            "address_2": "STE. 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215954",
            "telephone_number": "702-741-1938",
            "fax_number": "702-778-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S SANDHILL RD",
            "address_2": "STE. 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215954",
            "telephone_number": "702-741-1938",
            "fax_number": "702-778-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVETTA",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "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 Jan 30, 2017; 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.