Individual provider Active NPI

Tasha Chemplavil, M.S.

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1669733218
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1602 Issued in NV
Practice address
8000 Badura Ave Unit 1178
Las Vegas, NV 89113
Phone
(702) 339-5475
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X AZ
Speech-Language Pathologist 235Z00000X SP-1602 NV Primary

Addresses

Primary practice location

8000 Badura Ave Unit 1178
Las Vegas, NV 89113

Mailing address

6624 Angelina St
Las Vegas, NV 89120-2920
Phone (702) 339-5475

Other practice location 1

8000 Badura Ave Unit 1178
Las Vegas, NV 89113-2112
Phone (702) 339-5475

Other identifiers 1

IdentifierTypeStateIssuer
1669733218MedicaidAZ

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

LicenseStateTypeSpecialty
SP-1602NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tasha Chemplavil LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1669733218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 ANGELINA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202920",
            "telephone_number": "702-339-5475",
            "fax_number": "877-741-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BADURA AVE UNIT 1178",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-339-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Badura Ave Unit 1178",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132112",
            "country_code": "US",
            "telephone_number": "702-339-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEMPLAVIL",
        "first_name": "TASHA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669733218",
            "state": "AZ"
        }
    ],
    "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 29, 2018; 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.