Sara Tribble, CSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC2050 Issued in NV

Practice address

3340 Topaz St Ste 170
Las Vegas, NV 89121-3906

Phone

(702) 268-7604

Fax

(702) 442-8840

NPI assigned

Jun 22, 2020

Last updated

Oct 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theravada Mental Health LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1114414109

  Clinical

  Medicare reassignment NPD
• Therapy of Southern Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1821698556
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1760008122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-755-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-268-7604",
            "fax_number": "702-442-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBBLE",
        "first_name": "SARA",
        "credential": "CSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC2050",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Star Primary Care LLC (Tri-Star Primary Care)
• Yosehine Triana Gomez
• Mario Triana-Herrera
• Xiomara Triana
• Joshua Lawrence Tribble
• Jacob Trice
• Janica C Trice, FNP-BC
• Kimberly Trice
• Victoria Trice
• Tricore West, LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.