Individual provider Active NPI

Michelle L Beachler

  • Rehabilitation Practitioner
  • North Las Vegas, NV
National Provider Identifier
1821351024
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
580 W Cheyenne Ave
Suite 70
North Las Vegas, NV 89030-3967
Phone
(702) 648-3913
Fax
(702) 636-2898
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

580 W Cheyenne Ave
Suite 70
North Las Vegas, NV 89030-3967

Mailing address

580 W Cheyenne Ave
Suite 70
North Las Vegas, NV 89030-3967
Phone (702) 648-3913

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1821351024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W CHEYENNE AVE",
            "address_2": "SUITE 70",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303967",
            "telephone_number": "702-648-3913",
            "fax_number": "702-636-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W CHEYENNE AVE",
            "address_2": "SUITE 70",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303967",
            "telephone_number": "702-648-3913",
            "fax_number": "702-636-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHLER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.