Active NPI
Mayra Carolina Castro
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1689006306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3533 Legendary Dr
Las Vegas, NV 89121-4430 - Phone
- (702) 832-6210
- NPI assigned
- Aug 5, 2013
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3533 Legendary Dr
Las Vegas, NV 89121-4430
Mailing address
2605 Rainbow Glow St
North Las Vegas, NV 89030-3709
Phone (702) 630-5009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Medicaid | NV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Life | Past | Accepting new patients | |
| Elevate Life Family Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- North Las Vegas, NV
- NPI 1033436787
-
- Behavior Analyst
- North Las Vegas, NV
- NPI 1568725935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1689006306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 RAINBOW GLOW ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890303709",
"telephone_number": "702-630-5009",
"fax_number": "702-631-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 LEGENDARY DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214430",
"telephone_number": "702-832-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "MAYRA",
"middle_name": "CAROLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225400000X",
"state": "NV"
}
],
"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 Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.