Individual provider Active NPI

Lidia Creel

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1750024626
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
DD Personal Care LLC
3468 E Sahara Ave Ste 165
Las Vegas, NV 89104-8910
Phone
(702) 207-0842
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

DD Personal Care LLC
3468 E Sahara Ave Ste 165
Las Vegas, NV 89104-8910

Mailing address

DD Personal Care LLC
3468 E Sahara Ave Ste 165
Las Vegas, NV 89104
Phone (702) 207-0842

Other practice location 1

DD Personal Care LLC
3468 E Sahara Ave Ste 165
Las Vegas, NV 89104
Phone (702) 207-0842

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

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1750024626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DD PERSONAL CARE LLC",
            "address_2": "3468 E SAHARA AVE STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-207-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DD PERSONAL CARE LLC",
            "address_2": "3468 E SAHARA AVE STE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891048910",
            "telephone_number": "702-207-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "DD Personal Care LLC",
            "address_2": "3468 E Sahara Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89104",
            "country_code": "US",
            "telephone_number": "702-207-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEL",
        "first_name": "LIDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "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 Apr 18, 2022; 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.