Individual provider Active NPI

Aleta M Salibellas

  • Contractor
  • Las Vegas, NV
National Provider Identifier
1629646823
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
20201858002 Issued in NV
Practice address
431 E Bonanza Rd
Las Vegas, NV 89101-2958
Phone
(702) 623-4402
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 20201858002 NV
Contractor 171W00000X 20201858002 NV Primary

Addresses

Primary practice location

431 E Bonanza Rd
Las Vegas, NV 89101-2958

Mailing address

5841 E Charleston Blvd Ste 230-112
Las Vegas, NV 89142-1021
Phone (702) 623-4402

Other identifiers 1

IdentifierTypeStateIssuer
20201858002OtherNVSTATE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Laptop Direct

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

State licenses

LicenseStateTypeSpecialty
20201858002NVMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1629646823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 E CHARLESTON BLVD STE 230-112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421021",
            "telephone_number": "702-623-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012958",
            "telephone_number": "702-623-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBELLAS",
        "first_name": "ALETA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NV",
            "license": "20201858002",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NV",
            "license": "20201858002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "20201858002",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop usage for information that will be transfer from point to point.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "431 E Bonanza Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891012958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 14, 2021; 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.