Red Rock Neurorehabilitation Center Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

RED ROCK NEUROREHABILITATION CENTER INC.

Practice address

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903

Phone

(702) 355-9862

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Hanta Wallisch, M.S., CCC-SLPNPI 1780185645

Title

Chief Executive Officer

Phone

(702) 355-9862

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Hanta Wallisch, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1780185645
  Authorized official Same address or phone

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1689280026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD STE 549",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484903",
            "telephone_number": "702-355-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK NEUROREHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "WALLISCH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "HANTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-355-9862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Rock Hospice
• Red Rock Hospitalist Group P.C. (Red Rock Family Clinic)
• Red Rock Management LLC
• Red Rock Natural Medicine LLC (Las Vegas Integrative Medicine)
• Red Rock Neuropsychiatric Consultants LLC
• Red Rock Pain Specialists, LLC
• Red Rock Pain Surgery Center
• Red Rock Periodontics & Implantology
• Red Rock Podiatry Inc
• Red Rock Psychological Health, LLC

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.