Individual provider Active NPI

Ashley Webber-Gamboa, CPT, RBT

  • Technician
  • Las Vegas, NV
National Provider Identifier
1902400104
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
55189-AL-0 Issued in NV
Practice address
2235 E Flamingo Rd Ste 123
Las Vegas, NV 89119-0805
Phone
(725) 243-4242
Fax
(702) 725-2467
NPI assigned
Nov 28, 2020
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 55189-AL-0 NV Primary
Behavior Technician 106S00000X RBT-23-265766 NV

Addresses

Primary practice location

2235 E Flamingo Rd Ste 123
Las Vegas, NV 89119-0805

Mailing address

2235 E Flamingo Rd Ste 123
Las Vegas, NV 89119-0805
Phone (725) 243-4242

Other practice location 1

1707 Village Center Cir
Las Vegas, NV 89134-6438
Phone (702) 766-9840

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL care360 Health Information Exchange (HIE)

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
RBT-23-265766NVMDBehavior Technician
55189-AL-0NVMDTechnician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Pathology Services Technician Current Accepting new patients

Locations

304 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 352-6855

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1902400104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 123",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190805",
            "telephone_number": "725-243-4242",
            "fax_number": "702-725-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 123",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190805",
            "telephone_number": "725-243-4242",
            "fax_number": "702-725-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Village Center Cir",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891346438",
            "country_code": "US",
            "telephone_number": "702-766-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBBER-GAMBOA",
        "first_name": "ASHLEY",
        "credential": "CPT, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NV",
            "license": "55189-AL-0",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-23-265766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "care360",
            "affiliation": "N",
            "endpointDescription": "care360",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "1608 Starridge Way",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891421175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.