Active NPI
Shawna Michelle Sogol, QBA
- Community Health Worker
- Las Vegas, NV
National Provider Identifier
1780376541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313 - Phone
- (702) 251-8000
- NPI assigned
- May 22, 2023
- Last updated
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
1701 W Charleston Blvd Ste 300
Las Vegas, NV 89102-2313
Mailing address
4623 W Desert Inn Rd
Las Vegas, NV 89102-7116
Phone (209) 589-5213
Other practice location 1
4623 W Desert Inn Rd
Las Vegas, NV 89102-7116
Phone (702) 410-9629
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resting Minds LLC | Current | Accepting new patients |
Interoperability endpoints
- shawna.sogol@harmonyhc.directbygreenway.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1154995082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1780376541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 W DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891027116",
"telephone_number": "209-589-5213",
"fax_number": "702-410-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022313",
"telephone_number": "702-251-8000"
}
],
"practiceLocations": [
{
"address_1": "4623 W Desert Inn Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891027116",
"country_code": "US",
"telephone_number": "702-410-9629",
"fax_number": "702-410-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOGOL",
"first_name": "SHAWNA",
"middle_name": "MICHELLE",
"credential": "QBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Sofia Tselikis MD LTD
- Biljana Sofronijoska Rece, RDN, LD, IFMCP
- Sofronio Soriano Professional Corporation (Sofronio Soriano MD PC)
- Jennifer Lynne Haberern Sogge, M.D.
- Gayane Soghomonyan
- Sohn Plastic Surgery, P.C.
- Elizabeth Anne Sohn, MSW, LSW, MSG
- Soho Concierge PLLC
- Stephanie Soiberg
- Larissa Kuuleialoha Soifua
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.