Active NPI
Randi Lynn Soltero, LSW
- Social Worker
- Las Vegas, NV
National Provider Identifier
1740855030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- IC-1786
- Practice address
- 4530 S Decatur Blvd
Las Vegas, NV 89103-5262 - Phone
- (702) 486-4317
- NPI assigned
- May 20, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8890-S | NV | |
| Social Worker | 104100000X | IC-1786 | NV | Primary |
Addresses
Primary practice location
4530 S Decatur Blvd
Las Vegas, NV 89103-5262
Mailing address
7443 Alice Springs Cir
Las Vegas, NV 89129-5919
Phone (702) 423-0458
Other practice location 1
6171 W Charleston Blvd Bldg 7
Las Vegas, NV 89146-1126
Phone (702) 486-0000 ext. 0481
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8890-S | NV | MD | Social Worker |
| IC-1786 | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Is Real Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1437789823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1740855030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7443 ALICE SPRINGS CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891295919",
"telephone_number": "702-423-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035262",
"telephone_number": "702-486-4317"
}
],
"practiceLocations": [
{
"address_1": "6171 W Charleston Blvd Bldg 7",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891461126",
"country_code": "US",
"telephone_number": "702-486-0000 x0481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLTERO",
"first_name": "RANDI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2024-06-12",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "8890-S",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "IC-1786",
"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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.