Maryrose Medina Khuu

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-3279 Issued in NV

Practice address

1333 N Buffalo Dr Unit 260
Las Vegas, NV 89128-3637

Phone

(702) 979-4268

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Good Life Therapy, LLC

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1700211182
  NPD (past)

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1952048563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST STE 260",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-979-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N BUFFALO DR UNIT 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283637",
            "telephone_number": "702-979-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUU",
        "first_name": "MARYROSE",
        "middle_name": "MEDINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sapandeep Khurana, MD
• Mikael Khurshed
• Syeda Simra Khusro
• Alexander Khuu, DO
• Chris Khuu, DPT
• Natalie Ann Khuu, PA-C
• Tuan Khuu, PAC
• Ariana Khzarjyan
• Ali Kia, MD
• Kian Kaveh D.O Inc

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.