Individual provider Active NPI

Ana Christina Redd, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1811593619
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2638 Issued in NV
Practice address
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Phone
(702) 515-4009
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-2638 NV Primary

Addresses

Primary practice location

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334

Mailing address

5062 Moose Falls Dr
Las Vegas, NV 89141-8642
Phone (307) 699-7047

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2638NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakeasy Therapy Services, LLC Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 499-6638

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1811593619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 MOOSE FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418642",
            "telephone_number": "307-699-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S JONES BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183334",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "ANA",
        "middle_name": "CHRISTINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2638",
            "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 7, 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.