Individual provider Active NPI

Stephanie Goyet Wayerski

  • Home Health Agency
  • Henderson, NV
National Provider Identifier
1619790714
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
874665
Practice address
3370 Saint Rose Pkwy Apt 2334
Henderson, NV 89052-4261
Phone
(702) 355-3163
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 874665 Primary

Addresses

Primary practice location

3370 Saint Rose Pkwy Apt 2334
Henderson, NV 89052-4261

Mailing address

3370 Saint Rose Pkwy Apt 2334
Henderson, NV 89052-4261
Phone (702) 355-3163

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1619790714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 SAINT ROSE PKWY APT 2334",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524261",
            "telephone_number": "702-355-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SAINT ROSE PKWY APT 2334",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524261",
            "telephone_number": "702-355-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYET WAYERSKI",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "874665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.