Active NPI
Teresita F Pagala
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1659941300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4800 Vegas Valley Dr Unit 93
Las Vegas, NV 89121-2035 - Phone
- (808) 499-7374
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
4800 Vegas Valley Dr Unit 93
Las Vegas, NV 89121-2035
Mailing address
4760 S Pecos Rd Ste 103-18
Las Vegas, NV 89121-6038
Phone (702) 207-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472989962 | Other | NV | PROVIDER |
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": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1659941300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 S PECOS RD STE 103-18",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891216038",
"telephone_number": "702-207-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 VEGAS VALLEY DR UNIT 93",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891212035",
"telephone_number": "808-499-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGALA",
"first_name": "TERESITA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "472989962",
"state": "NV"
}
],
"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 Jun 25, 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.