Active NPI
Elizabeth Acosta
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1639738289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5604 Harmony Ave
Las Vegas, NV 89107-2625 - Phone
- (702) 910-0300
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5604 Harmony Ave
Las Vegas, NV 89107-2625
Mailing address
5604 Harmony Ave
Las Vegas, NV 89107-2625
Phone (702) 910-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3747P1801X | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR | Direct | Sunshine Mental Health & Wellness |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salute Healthcare Center LLC | Current | Accepting new patients | |
| Improved Health Center and Wellness LLC | Current | Accepting new patients | |
| Meadows Health and Wellness LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1639738289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 HARMONY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072625",
"telephone_number": "702-910-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 HARMONY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072625",
"telephone_number": "702-910-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3747P1801X",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR",
"affiliation": "Y",
"endpointDescription": "Behavioral health",
"affiliationName": "Sunshine Mental Health & Wellness",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2785 E Desert Inn Rd Ste 210",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891213624",
"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 Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.