Individual provider Active NPI

Nicole Yvette Rosales Onas, M.S., CCC-SLP

  • Speech-Language Pathologist
  • North Las Vegas, NV
National Provider Identifier
1881229821
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2502 Issued in NV
Practice address
6316 Coyote Valley CT
North Las Vegas, NV 89084-2006
Phone
(562) 857-7237
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 21121 CA
Speech-Language Pathologist 235Z00000X SP-2502 NV Primary

Addresses

Primary practice location

6316 Coyote Valley CT
North Las Vegas, NV 89084-2006

Mailing address

6316 Coyote Valley CT
North Las Vegas, NV 89084-2006
Phone (562) 857-7237

Other names 1

  • Nicole Yvette Ebalo Rosales Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-2502NVMDSpeech-Language Pathologist
21121CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1881229821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 COYOTE VALLEY CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842006",
            "telephone_number": "562-857-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 COYOTE VALLEY CT",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842006",
            "telephone_number": "562-857-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAS",
        "first_name": "NICOLE YVETTE",
        "middle_name": "ROSALES",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21121",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE YVETTE",
            "last_name": "ROSALES",
            "middle_name": "EBALO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 10, 2020; 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.