Individual provider Active NPI

Andrea Dalziell

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1811584345
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717
Phone
(702) 665-5593
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NV Primary

Addresses

Primary practice location

9488 W Flamingo Rd Ste 102
Las Vegas, NV 89147-5717

Mailing address

2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698

Other practice location 1

2298 W Horizon Ridge Pkwy Ste 201
Henderson, NV 89052-2698
Phone (702) 363-7284

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1811584345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 W HORIZON RIDGE PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9488 W FLAMINGO RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475717",
            "telephone_number": "702-665-5593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 W Horizon Ridge Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522698",
            "country_code": "US",
            "telephone_number": "702-363-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALZIELL",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 30, 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.