Active NPI
Stephanie Grabow
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1851721187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 6144-C
- Practice address
- 6889 S Eastern Ave
Las Vegas, NV 89119-4687 - Phone
- (702) 434-1200
- NPI assigned
- Nov 22, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | TX | ||
| Rehabilitation Practitioner | 225400000X | 6144-C | NV | Primary |
Addresses
Primary practice location
6889 S Eastern Ave
Las Vegas, NV 89119-4687
Mailing address
7212 Sublime Ave
Las Vegas, NV 89130-1157
Phone (303) 669-6308
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 |
|---|---|---|---|
| 6144-C | NV | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1851721187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7212 SUBLIME AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891301157",
"telephone_number": "303-669-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6889 S EASTERN AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194687",
"telephone_number": "702-434-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABOW",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": "6144-C",
"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 May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.