Mildred Patton

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

7839 Lyrebird Drive
North Las Vegas, NV 89084

Phone

(702) 349-3429

Fax

(702) 227-9528

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1659652394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 FERRELL ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312207",
            "telephone_number": "702-227-9528",
            "fax_number": "702-227-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7839 LYREBIRD DRIVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89084",
            "telephone_number": "702-349-3429",
            "fax_number": "702-227-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "MILDRED",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khamryn D Patterson
• Kunta Patterson
• Seandra N Patterson
• Tanya Patterson
• Derryck Patton
• Natasha Dawn Patton
• Serriner Patton
• Paul H. Phan & Associates, Inc.
• Shantele Kuuipo Paulino
• Jennifer M Paulson

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.