Active NPI
Asmayt Debretsion
- Adult Companion
- Las Vegas, NV
National Provider Identifier
1790335883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 4850 W Flamingo Rd
Las Vegas, NV 89103-3705 - Phone
- (702) 871-9917
- NPI assigned
- Sep 19, 2019
- Last updated
- Sep 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | NU | Primary |
Addresses
Primary practice location
4850 W Flamingo Rd
Las Vegas, NV 89103-3705
Mailing address
589 Sierra Vista Dr Apt 8
Las Vegas, NV 89169-3739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1605726926 | Other | NV | NEVADA ID |
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": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1790335883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 SIERRA VISTA DR APT 8",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891693739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033705",
"telephone_number": "702-871-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRETSION",
"first_name": "ASMAYT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA ID",
"identifier": "1605726926",
"state": "NV"
}
],
"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 Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.