Individual provider Active NPI

Gladys Tena

  • Social Worker
  • North Las Vegas, NV
National Provider Identifier
1982079919
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415
Phone
(702) 522-9962
Fax
(702) 522-9967
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Social Worker 104100000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415

Mailing address

5185 Camino Al Norte
Suite 130
North Las Vegas, NV 89031-2415
Phone (702) 522-9962

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Community Assocites, Inc. Case Manager/Care Coordinator Past Accepting new patients

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1982079919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 CAMINO AL NORTE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312415",
            "telephone_number": "702-522-9962",
            "fax_number": "702-522-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 CAMINO AL NORTE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312415",
            "telephone_number": "702-522-9962",
            "fax_number": "702-522-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENA",
        "first_name": "GLADYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.