Chaqula Pointer-Kallo, DM-ODC, MA-HPS/EDU

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

3720 Autzen Stadium Way
Las Vegas, NV 89115-1568

Phone

(662) 573-2002

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1710309992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 AUTZEN STADIUM WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151568",
            "telephone_number": "662-573-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 AUTZEN STADIUM WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151568",
            "telephone_number": "662-573-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINTER-KALLO",
        "first_name": "CHAQULA",
        "name_prefix": "Dr.",
        "credential": "DM-ODC, MA-HPS/EDU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irlonda Poindexter
• Irlonna Lynn Poindexter
• Point Place Wellness Group
• Johnnae Pointdexter
• Pointe North Dental
• Arianna Pointer
• Jeffery Poirier, ATC,LAT
• Sarah Poirier
• Isaac J Pokojni, F.N.P.
• Pauline Pokornowski

• Developmentally Disabled Services Day Training Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Developmentally Disabled Services Day Training Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.