Individual provider Active NPI

Sanny Kawabata Pachauri, RN

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1992391601
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN69686 Issued in NV
Practice address
3145 E Flamingo Rd Apt 2127
Las Vegas, NV 89121-4362
Phone
(661) 383-7023
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN69686 NV Primary

Addresses

Primary practice location

3145 E Flamingo Rd Apt 2127
Las Vegas, NV 89121-4362

Mailing address

3145 E Flamingo Rd Apt 2127
Las Vegas, NV 89121-4362
Phone (661) 383-7023

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN69686NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1992391601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 E FLAMINGO RD APT 2127",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214362",
            "telephone_number": "661-383-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 E FLAMINGO RD APT 2127",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214362",
            "telephone_number": "661-383-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHAURI",
        "first_name": "SANNY",
        "middle_name": "KAWABATA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN69686",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 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.