Organization Active NPI

Dawn Starks-Ball Dba New Life Therapy

  • Clinical Social Worker
  • N Las Vegas, NV
National Provider Identifier
1790339356
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DAWN STARKS-BALL DBA NEW LIFE THERAPY
Practice address
5135 Camino Al Norte Ste 264
N Las Vegas, NV 89031-2419
Phone
(702) 853-6731
Fax
(720) 247-1226
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Mrs. Krista Huey, BSHCA
Title
Credentialing Manager
Phone
(702) 528-9947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5135 Camino Al Norte Ste 264
N Las Vegas, NV 89031-2419

Mailing address

5135 Camino Al Norte Ste 264
N Las Vegas, NV 89031-2419
Phone (702) 853-6731

National Provider Directory

National Provider Directory

Locations

5135 Camino Al Norte
Ste 264
North Las Vegas, NV 89031
Phone (702) 853-6731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1790339356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 264",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-853-6731",
            "fax_number": "720-247-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 264",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312419",
            "telephone_number": "702-853-6731",
            "fax_number": "720-247-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN STARKS-BALL DBA NEW LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-528-9947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSHCA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N 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 31, 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.

Verify at the official NPI Registry.