Organization Active NPI

Ready for Change

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1811533763
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
READY FOR CHANGE
Practice address
510 South 10TH Street
Unit a
Las Vegas, NV 89101-7874
Phone
(702) 462-6630
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Shanise Marie AlexanderNPI 1366082471
Title
Director
Phone
(800) 207-1565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

510 South 10TH Street
Unit a
Las Vegas, NV 89101-7874

Mailing address

510 South 10TH Street
Unit a
Las Vegas, NV 89101-7874
Phone (702) 462-6630

Other identifiers 1

IdentifierTypeStateIssuer
1366082471OtherINDIVIDUAL

National Provider Directory

National Provider Directory

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1811533763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SOUTH 10TH STREET",
            "address_2": "UNIT A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891017874",
            "telephone_number": "702-462-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SOUTH 10TH STREET",
            "address_2": "UNIT A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891017874",
            "telephone_number": "702-462-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SHANISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-207-1565"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1366082471",
            "state": null
        }
    ],
    "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 Jan 25, 2023; 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.