NPIMap

Organization Active NPI

Foundation for Positively Kids

  • Early Intervention Provider Agency
  • Las Vegas, NV
National Provider Identifier
1720372808
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
NV1172 Issued in NV
Legal business name
FOUNDATION FOR POSITIVELY KIDS
Practice address
2480 E Tompkins Ave Ste 101
Las Vegas, NV 89121-5466
Phone
(702) 262-0037
Fax
(702) 262-0252
NPI assigned
Jun 6, 2011
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Judy A New
Title
Vice President Medical Clinics
Phone
(702) 455-5639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NV1172 NV Primary

Addresses

Primary practice location

2480 E Tompkins Ave Ste 101
Las Vegas, NV 89121-5466

Mailing address

2480 E Tompkins Ave Ste 222
Las Vegas, NV 89121-7625
Phone (702) 262-0037

Other identifiers 1

IdentifierTypeStateIssuer
100523923MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Foundation for Positively Kids8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2480 E Tompkins Ave
Ste 101
Las Vegas, NV 89121
Phone (725) 724-2005

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1720372808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE STE 222",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217625",
            "telephone_number": "702-262-0037",
            "fax_number": "702-262-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215466",
            "telephone_number": "702-262-0037",
            "fax_number": "702-262-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR POSITIVELY KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "NEW",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT MEDICAL CLINICS",
        "authorized_official_telephone_number": "702-455-5639"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "NV1172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100523923",
            "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 Aug 11, 2021; 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.