Unknown Individual – Electroneurodiagnostic Specialist/Technologist, NPI 1619004959

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Electroneurodiagnostic Specialist/Technologist. The NPI Number for Unknown Individual is 1619004959

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619004959
Phone
(702) 482-7361
Address
11700 W CHARLESTON BLVD
Deactivation Date
27 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 11700 W CHARLESTON BLVD

    #170-487

    LAS VEGAS, NV 891351573

    Phone: (702) 482-7361

    Fax: (855) 282-2754

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89135)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1619004959.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Electroneurodiagnostic Specialist/Technologist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Las Vegas, Nevada as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MR. KEVIN R HEINRICH

Electroneurodiagnostic Specialist/Technologist
216 F ST #76
NPI: 1538228697

APEX DIAGNOSTIC SERVICES, INC.

Diagnostic Ultrasound Physician
5805, Doe Avenue, Las Vegas, Clark County, Nevada, 89146, United States
NPI: 1104982719

MR. LINGKE ZHAO

Electroneurodiagnostic Specialist/Technologist
Sunrise Hospital & Medical Center, 3186, South Maryland Parkway, Filipino Town, Las Vegas, Clark County, Nevada, 89109, United States
NPI: 1548315948

CHAD ALLEN (CNIM)

Electroneurodiagnostic Specialist/Technologist
2, West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89102, United States
NPI: 1457560898

REBECCA GILLILAN (CNIM)

Speech-Language Pathologist
4080, North Juliano Road, Las Vegas, Clark County, Nevada, 89129, United States
NPI: 1023291754

Apex Sonography

Diagnostic Ultrasound Physician
5805, Doe Avenue, Las Vegas, Clark County, Nevada, 89146, United States
NPI: 1255518429

MALINA LEWIS

Electroneurodiagnostic Specialist/Technologist
2, West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89102, United States
NPI: 1003072778

KRISTIN RAE RICH (BA, AAS, CNIM)

Electroneurodiagnostic Specialist/Technologist
45211 HELM ST
NPI: 1952545097

KAROLYN L WITCHER (R. EEG T, CNIM, CLTM)

Electroneurodiagnostic Specialist/Technologist
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
NPI: 1265666788