Individual provider Active NPI

Patricia Gail Caldwell

  • Counselor
  • North Las Vegas, NV
National Provider Identifier
1902030349
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1001986083 Issued in NV
Practice address
1529 Duhamel Way
North Las Vegas, NV 89032-7937
Phone
(702) 813-6573
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1001986083 NV Primary

Addresses

Primary practice location

1529 Duhamel Way
North Las Vegas, NV 89032-7937

Mailing address

1529 Duhamel Way
North Las Vegas, NV 89032-7937
Phone (702) 813-6573

Other identifiers 1

IdentifierTypeStateIssuer
9005054729MedicaidNV

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

LicenseStateTypeSpecialty
1001986083NVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fields of Wellness Homes Inc Past Accepting new patients
Fields of Wellness Homes Past Accepting new patients

Organizations & group practices 2

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1902030349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 DUHAMEL WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327937",
            "telephone_number": "702-813-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 DUHAMEL WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327937",
            "telephone_number": "702-813-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "PATRICIA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "1001986083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005054729",
            "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 Nov 5, 2009; 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.