NPIMap

Organization Active NPI

Genesis

  • Rehabilitation Practitioner
  • North Las Vegas, NV
National Provider Identifier
1871857854
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
GENESIS
Practice address
3920 W Ann Rd
100
North Las Vegas, NV 89031-3839
Phone
(702) 544-0763
Fax
(702) 656-3426
NPI assigned
Jun 25, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Curtis Stuckey
Title
Executive Director
Phone
(702) 544-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

3920 W Ann Rd
100
North Las Vegas, NV 89031-3839

Mailing address

3920 W Ann Rd
100
North Las Vegas, NV 89031-3839
Phone (702) 544-0763

National Provider Directory

National Provider Directory
Tax ID family
Genesis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1871857854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W ANN RD",
            "address_2": "100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313839",
            "telephone_number": "702-544-0763",
            "fax_number": "702-656-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W ANN RD",
            "address_2": "100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313839",
            "telephone_number": "702-544-0763",
            "fax_number": "702-656-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-544-0763"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 25, 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.