Individual provider Active NPI

Olivia Lizbeth Santillan-Trinidad

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1669088407
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2415 Reynolds Ave. Ste #101
Las Vegas, NV 89030
Phone
(725) 261-7443
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2415 Reynolds Ave. Ste #101
Las Vegas, NV 89030

Mailing address

2415 Reynolds Ave Ste 101
Las Vegas, NV 89030

Other names 1

  • Olivia Lizbeth Santillan-Trinidad Former name

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1669088407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 REYNOLDS AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 REYNOLDS AVE. STE #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89030",
            "telephone_number": "725-261-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN-TRINIDAD",
        "first_name": "OLIVIA",
        "middle_name": "LIZBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "SANTILLAN-TRINIDAD",
            "middle_name": "LIZBETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 17, 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.