Monica Grace Carlos

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-2378 Issued in NV

Practice address

7425 W Azure Dr Ste 140
Las Vegas, NV 89130-4425

Phone

(702) 515-4009

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speakeasy Therapy Services, LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1114315801
  NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1871281964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 LOMA DEL RAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314306",
            "telephone_number": "702-321-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304425",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "MONICA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Carlos
• Hannah Carlos
• Isaiah Cedric Mabasa Carlos
• Loren Nicole Carlos
• Mavi Precious Gayle Carlos
• Raneisha Carlos
• Raymond Lorenzo Carlos
• Carlotta D. Winn
• Delaney Carlovsky
• Andrea Carlsen

• Occupational Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.