Individual provider Active NPI

Gayle Moriner, R.EEG T.

  • Electroneurodiagnostic Specialist/Technologist
  • Las Vegas, NV
National Provider Identifier
1649664160
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2641
Practice address
9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528
Phone
(855) 864-4322
Fax
(888) 315-4512
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2641 Primary

Addresses

Primary practice location

9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528

Mailing address

1350 W Horizon Ridge Pkwy
#1322
Henderson, NV 89012-4432
Phone (678) 536-5210

Other identifiers 1

IdentifierTypeStateIssuer
2641OtherR.EEG T.

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1649664160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W HORIZON RIDGE PKWY",
            "address_2": "#1322",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124432",
            "telephone_number": "678-536-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2-641",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "855-864-4322",
            "fax_number": "888-315-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORINER",
        "first_name": "GAYLE",
        "credential": "R.EEG T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.EEG T.",
            "identifier": "2641",
            "state": null
        }
    ],
    "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 Aug 18, 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.