Charles D McRae, BACHELORS DEGREE

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

6885 W Lone Mountain Rd Apt 211
Las Vegas, NV 89108-5811

Phone

(702) 205-1290

NPI assigned

Dec 15, 2010

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1962705897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 W LONE MOUNTAIN RD APT 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085811",
            "telephone_number": "702-205-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 W LONE MOUNTAIN RD APT 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085811",
            "telephone_number": "702-205-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "BACHELORS DEGREE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael McQueen
• Teneka McQueen, BS
• Jacklyn McQuerry
• Ryan McQuillan
• Abbie McRae
• Christina Esther McRae
• David A McRae, MD
• Lindsey McRae
• Marc Rosell McRae, D.D.S
• Mayzee McRae

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.