Active NPI
Cynamon Scott
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1699276790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2920 S Jones Blvd Ste 110B
Las Vegas, NV 89146-5395 - Phone
- (702) 312-5062
- NPI assigned
- Feb 23, 2018
- 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
2920 S Jones Blvd Ste 110B
Las Vegas, NV 89146-5395
Mailing address
4738 W Fremont Rd
Laveen, AZ 85339-8239
Phone (602) 531-4395
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1699276790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4738 W FREMONT RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853398239",
"telephone_number": "602-531-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S JONES BLVD STE 110B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465395",
"telephone_number": "702-312-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CYNAMON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"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 Feb 23, 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.