Individual provider Active NPI

Crystal Elizabeth Fields, RBT

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1942052113
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB898266 Issued in NV
Practice address
3140 S Rainbow Blvd Ste 400
Las Vegas, NV 89146-6234
Phone
(702) 400-1720
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB898266 NV Primary

Addresses

Primary practice location

3140 S Rainbow Blvd Ste 400
Las Vegas, NV 89146-6234

Mailing address

165 Alamere Falls Dr
Las Vegas, NV 89138-6156
Phone (702) 400-1720

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
BACB898266NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kam Learning Campus LLC Behavior Technician CurrentSince Apr 9, 2024 Accepting new patients

Locations

3140 S Rainbow Blvd
Ste 400
Las Vegas, NV 89146
Phone (702) 400-1720

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942052113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ALAMERE FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386156",
            "telephone_number": "702-400-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S RAINBOW BLVD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466234",
            "telephone_number": "702-400-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "CRYSTAL",
        "middle_name": "ELIZABETH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "BACB898266",
            "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 Apr 2, 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.