Active NPI
Milrose Supan Nacpil, MS OT
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1669615696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09-0174
- Practice address
- 6302 Aztec Crossing CT
Las Vegas, NV 89142-7922 - Phone
- (702) 324-3915
- Fax
- (702) 982-8105
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 09-0174 | NV | Primary |
Addresses
Primary practice location
6302 Aztec Crossing CT
Las Vegas, NV 89142-7922
Mailing address
6302 Aztec Crossing CT
Las Vegas, NV 89142-7922
Phone (702) 324-3915
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-0174 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1669615696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6302 AZTEC CROSSING CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891427922",
"telephone_number": "702-324-3915",
"fax_number": "702-982-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 AZTEC CROSSING CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891427922",
"telephone_number": "702-324-3915",
"fax_number": "702-982-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACPIL",
"first_name": "MILROSE",
"middle_name": "SUPAN",
"credential": "MS OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "09-0174",
"primary": true
}
],
"identifiers": [],
"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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.