Active NPI
Keonna Lashawn Brown
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1841550282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 720 W Cheyenne Ave
Suite #30
North Las Vegas, NV 89030-7807 - Phone
- (702) 900-7397
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
720 W Cheyenne Ave
Suite #30
North Las Vegas, NV 89030-7807
Mailing address
720 W Cheyenne Ave
Suite #30
North Las Vegas, NV 89030-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-3558217 | Medicaid | NV |
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": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1841550282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W CHEYENNE AVE",
"address_2": "SUITE #30",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W CHEYENNE AVE",
"address_2": "SUITE #30",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307807",
"telephone_number": "702-900-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KEONNA",
"middle_name": "LASHAWN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45-3558217",
"state": "NV"
}
],
"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 May 18, 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.