Individual provider Active NPI

Elvira Yessica Weintraub

  • Behavior Technician
  • Henderson, NV
National Provider Identifier
1790302834
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1252 Issued in NV
Practice address
1372 Haven Green CT
Henderson, NV 89012-4846
Phone
(702) 708-3320
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1252 NV Primary

Addresses

Primary practice location

1372 Haven Green CT
Henderson, NV 89012-4846

Mailing address

1372 Haven Green CT
Henderson, NV 89012-4846
Phone (702) 708-3320

Other identifiers 1

IdentifierTypeStateIssuer
RBT1252OtherNVNEVADA REGISTRY

Other names 1

  • Elvira Yessica Camacho Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Lw@littlegeniustots.com Health Information Exchange (HIE)
Direct Messaging Address Lw@littlegeniustots.com Health Information Exchange (HIE)
Direct Messaging Address Lw@littlegeniustots.com Health Information Exchange (HIE)

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
1252NVMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: lw@littlegeniustots.com

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1790302834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 HAVEN GREEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124846",
            "telephone_number": "702-708-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 HAVEN GREEN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124846",
            "telephone_number": "702-708-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "ELVIRA",
        "middle_name": "YESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA REGISTRY",
            "identifier": "RBT1252",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lw@littlegeniustots.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1372 Haven Green Ct",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890124846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lw@littlegeniustots.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1372 Haven Green Ct",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890124846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lw@littlegeniustots.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1372 Haven Green Ct",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890124846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELVIRA",
            "last_name": "CAMACHO",
            "middle_name": "YESSICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.