Active NPI
Hannah Waleed Borisly, SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1992370266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5516 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-7679 - Phone
- (702) 641-8255
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5516 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-7679
Mailing address
9834 Black Mulberry St
Las Vegas, NV 89178-5555
Phone (951) 255-2866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Portals/Fax |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1992370266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9834 BLACK MULBERRY ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891785555",
"telephone_number": "951-255-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 S FORT APACHE RD STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487679",
"telephone_number": "702-641-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORISLY",
"first_name": "HANNAH",
"middle_name": "WALEED",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Portals/Fax",
"affiliation": "N",
"address_1": "5516 S Fort Apache Rd Ste 130",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891487679",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.