Individual provider Active NPI

Celeste Goshorn

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1639567159
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Phone
(702) 650-6508
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464

Mailing address

9183 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6464
Phone (719) 237-0749

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1639567159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9183 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476464",
            "telephone_number": "719-237-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9183 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476464",
            "telephone_number": "702-650-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "CELESTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "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 8, 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.