John Headley
Case Manager/Care Coordinator in Las Vegas, NV. Individual provider (NPI-1).
NPI number1114442183
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1114442183
- Entity type
- Individual (NPI-1)
- Name
- John Headley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
323 N Maryland PkwyLas Vegas, NV 89101-3130
Phone 702-385-3330
Mailing address
323 N Maryland PkwyLas Vegas, NV 89101-3130
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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