Individual provider Active NPI

Beverly Ann Hillbradshaw, MS., LADC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1881979219
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
826-L Issued in NV
Practice address
5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415
Phone
(702) 522-9962
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 826-L NV Primary

Addresses

Primary practice location

5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415

Mailing address

5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415
Phone (702) 522-9962

Other names 1

  • Mrs. Beverly Ann Hillbradshaw Professional 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
826-LNVMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Community Assocites, Inc. Community/Behavioral Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1881979219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 CAMINO AL NORTE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312415",
            "telephone_number": "702-522-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 CAMINO AL NORTE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312415",
            "telephone_number": "702-522-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLBRADSHAW",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS., LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "826-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "HILLBRADSHAW",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MS., LADC",
            "code": "2",
            "type": "Professional 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 Jan 24, 2013; 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.