Active NPI
Susan Kaiser, OTR/L
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1710458633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 5538 Duncan Dr
Las Vegas, NV 89130-2812 - Phone
- (702) 395-5034
- NPI assigned
- Dec 17, 2018
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15-0619 | NV | |
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
5538 Duncan Dr
Las Vegas, NV 89130-2812
Mailing address
6290 Apple Orchard Dr
Las Vegas, NV 89142-0904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880107500 | 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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1710458633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6290 APPLE ORCHARD DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891420904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 DUNCAN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302812",
"telephone_number": "702-395-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "SUSAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "15-0619",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880107500",
"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 Mar 27, 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.