Ericka Gaston
Rehabilitation Practitioner in Henderson, NV. Individual provider (NPI-1).
NPI number1902390701
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1902390701
- Entity type
- Individual (NPI-1)
- Name
- Ericka Gaston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2018
- Last updated
- Jun 15, 2018
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 |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
98 E Lake Mead PkwyHenderson, NV 89015-5540
Phone 702-433-3038
Mailing address
98 E Lake Mead Pkwy Ste 302Henderson, NV 89015-6444
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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