Active NPI
Cheyene Autumn King
- Physical Therapy Assistant
- North Las Vegas, NV
National Provider Identifier
1851174437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-1536
- Practice address
- 2550 Nature Park Dr
North Las Vegas, NV 89084-3204 - Phone
- (702) 859-4710
- NPI assigned
- Aug 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014078 | AZ | |
| Physical Therapy Assistant | 225200000X | A-1536 | NV | Primary |
Addresses
Primary practice location
2550 Nature Park Dr
North Las Vegas, NV 89084-3204
Mailing address
2550 Nature Park Dr
North Las Vegas, NV 89084-3204
Phone (702) 859-4710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014078 | AZ | MD | Physical Therapy Assistant |
| A-1536 | NV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1851174437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 NATURE PARK DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890843204",
"telephone_number": "702-859-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 NATURE PARK DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890843204",
"telephone_number": "702-859-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHEYENE",
"middle_name": "AUTUMN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "014078",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A-1536",
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.