Active NPI
Emanuel Leatherwood
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1922456334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EMANUEL LEATHERWOOD
- Practice address
- 5650 E Sahara Ave
Las Vegas, NV 89142-2061 - Phone
- (305) 515-0701
- NPI assigned
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emanuel Leatherwood Jr.
- Title
- BST
- Phone
- (305) 515-0701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
5650 E Sahara Ave
Las Vegas, NV 89142-2061
Mailing address
5650 E Sahara Ave
Las Vegas, NV 89142-2061
Phone (305) 515-0701
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1922456334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5650 E SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891422061",
"telephone_number": "305-515-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 E SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891422061",
"telephone_number": "305-515-0701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMANUEL LEATHERWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "LEATHERWOOD",
"authorized_official_first_name": "EMANUEL",
"authorized_official_title_or_position": "BST",
"authorized_official_telephone_number": "305-515-0701",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.