Individual provider Active NPI

Sabrina Porras

  • Rehabilitation Psychologist
  • Las Vegas, NV
National Provider Identifier
1750636577
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
103KOOOOOX Issued in NV
Practice address
555 E Silverado Ranch Blvd
Unit 2082
Las Vegas, NV 89183-6286
Phone
(702) 572-8174
Fax
(186) 687-5398
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 103KOOOOOX NV Primary

Addresses

Primary practice location

555 E Silverado Ranch Blvd
Unit 2082
Las Vegas, NV 89183-6286

Mailing address

555 E Silverado Ranch Blvd
Unit 2082
Las Vegas, NV 89183
Phone (702) 572-8174

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

LicenseStateTypeSpecialty
103KOOOOOXNVMDRehabilitation Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1750636577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E SILVERADO RANCH BLVD",
            "address_2": "UNIT 2082",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89183",
            "telephone_number": "702-572-8174",
            "fax_number": "186-687-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E SILVERADO RANCH BLVD",
            "address_2": "UNIT 2082",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836286",
            "telephone_number": "702-572-8174",
            "fax_number": "186-687-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "SABRINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NV",
            "license": "103KOOOOOX",
            "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 Jul 18, 2012; 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.