Active NPI
Silke Rudolf Andre PLLC
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1669040937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SILKE RUDOLF ANDRE PLLC
- Practice address
- 2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892 - Phone
- (702) 849-3750
- NPI assigned
- Jun 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Silke E Rudolf-Andre, LCSW
- Title
- Owner/Manager
- Phone
- (702) 475-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2620 Regatta Dr Ste 102
Las Vegas, NV 89128-6892
Mailing address
2251 N Rampart Blvd Ste 194
Las Vegas, NV 89128-7640
Phone (702) 475-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598106080 | Medicaid | NV |
Other names 1
- Connect2Thrive
National Provider Directory
National Provider DirectoryLocations
150 N Durango Dr
Ste 240
Las Vegas, NV 89145
Phone (702) 550-9550
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643414400000",
"number": "1669040937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N RAMPART BLVD STE 194",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287640",
"telephone_number": "702-475-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 REGATTA DR STE 102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286892",
"telephone_number": "702-849-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILKE RUDOLF ANDRE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A",
"authorized_official_last_name": "RUDOLF-ANDRE",
"authorized_official_first_name": "SILKE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "702-475-2080",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598106080",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Connect2Thrive",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Connect2Thrive",
"code": "3",
"type": "Doing Business As"
}
]
}
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 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.