Active NPI
Katherine Disney-Fairchild
- Marriage & Family Therapist
- Henderson, NV
National Provider Identifier
1891119244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01427
- Practice address
- 2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427 - Phone
- (702) 265-7245
- NPI assigned
- Feb 5, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 01427 | NV | Primary |
Addresses
Primary practice location
2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427
Mailing address
2821 W Horizon Ridge Pkwy
Suite 121
Henderson, NV 89052-4427
Phone (702) 265-7245
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01427 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1891119244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 W HORIZON RIDGE PKWY",
"address_2": "SUITE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524427",
"telephone_number": "702-265-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 W HORIZON RIDGE PKWY",
"address_2": "SUITE 121",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524427",
"telephone_number": "702-265-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISNEY-FAIRCHILD",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.