Trisha Abbott

Individual provider Active NPI Home Health Aide · Las Vegas, NV

NPI 1710681069 · NPPES record last updated Mar 29, 2023

Key facts

NPI
1710681069
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5020 Alta Dr Ste B
Las Vegas, NV 89107-3940
Phone
(702) 685-3418
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5020 Alta Dr Ste B
Las Vegas, NV 89107-3940

Mailing address

5020 Alta Dr Ste B
Las Vegas, NV 89107-3940
Phone (702) 685-3418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2023.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1710681069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073940",
            "telephone_number": "702-685-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073940",
            "telephone_number": "702-685-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "TRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Aide in Nevada

Sources for this page

Verify at the official NPI Registry.