Individual provider Active NPI

Candice D Whitfield

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1982135851
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2013 Issued in NV
Practice address
3651 Lindell Rd Ste D120
Las Vegas, NV 89103-1254
Phone
(702) 778-0385
Fax
(702) 899-8403
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2013 NV Primary

Addresses

Primary practice location

3651 Lindell Rd Ste D120
Las Vegas, NV 89103-1254

Mailing address

3651 Lindell Rd Ste D120
Las Vegas, NV 89103-1254
Phone (702) 778-0385

Other practice location 1

3651 Lindell Rd Ste D120
Las Vegas, NV 89103-1254
Phone (702) 778-0385

Other identifiers 1

IdentifierTypeStateIssuer
100551406MedicaidNV

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-2013NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Slptele LLC Speech-Language Pathologist CurrentSince Mar 18, 2024 Accepting new patients
Therapy Blocks L.L.C. Speech-Language Pathologist Past Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

601 N Pecos Rd
Las Vegas, NV 89101
Phone (702) 455-2202

3920 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 478-5541

9260 W Sunset Rd
Ste 204
Las Vegas, NV 89148
Phone (702) 339-8770

1306 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 339-8770

Organizations & group practices 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1982135851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD STE D120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-778-0385",
            "fax_number": "702-899-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD STE D120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-778-0385",
            "fax_number": "702-899-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Lindell Rd Ste D120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891031254",
            "country_code": "US",
            "telephone_number": "702-778-0385",
            "fax_number": "702-899-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "CANDICE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100551406",
            "state": "NV"
        }
    ],
    "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 May 5, 2020; 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.