Active NPI
Crystal Elizabeth Fields, RBT
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1942052113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB898266
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB898266 | NV | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kam Learning Campus LLC | Behavior Technician | Current | 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.