Active NPI
Tattiyona Wilson
- Personal Emergency Response Attendant
- North Las Vegas, NV
National Provider Identifier
1881066207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- Practice address
- 3841 Van Ness Ave
North Las Vegas, NV 89081-4062 - Phone
- (562) 391-3981
- NPI assigned
- Oct 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | Primary |
Addresses
Primary practice location
3841 Van Ness Ave
North Las Vegas, NV 89081-4062
Mailing address
3841 Van Ness Ave
North Las Vegas, NV 89081-4062
Phone (562) 391-3981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00001935159 | 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": "1445731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445731200000",
"number": "1881066207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 VAN NESS AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890814062",
"telephone_number": "562-391-3981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 VAN NESS AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890814062",
"telephone_number": "562-391-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TATTIYONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-25",
"last_updated": "2015-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001935159",
"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 Oct 25, 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.