Yvonne Smith

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YVONNE SMITH

Practice address

625 Hause Ave
North Las Vegas, NV 89030-4004

Phone

(702) 834-2214

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Miss Yvonne Decarlo Smith

Title

Owner

Phone

(702) 834-2214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1669839106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HAUSE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304004",
            "telephone_number": "702-834-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HAUSE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304004",
            "telephone_number": "702-834-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "DECARLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-834-2214",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.