Individual provider Active NPI

Mary Montgomery

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1811535826
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
5852 S Pecos Rd Ste 5
Las Vegas, NV 89120-3490
Phone
(702) 469-4892
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

5852 S Pecos Rd Ste 5
Las Vegas, NV 89120-3490

Mailing address

5852 S Pecos Rd Ste 5
Las Vegas, NV 89120-3490
Phone (702) 469-4892

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rainbowhelperslv@gmail.com

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

OrganizationSpecialtyStatusNew patients
Rainbow Helpers CurrentSince Dec 22, 2019 Accepting new patients

Locations

5852 S Pecos Rd
Ste 5
Las Vegas, NV 89120
Phone (702) 469-4892

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1811535826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 S PECOS RD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203490",
            "telephone_number": "702-469-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 S PECOS RD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203490",
            "telephone_number": "702-469-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rainbowhelperslv@gmail.com",
            "affiliation": "N",
            "address_1": "5852 S Pecos Rd Ste 5",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 20, 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.