JUDITH L. TAN (NPI# 1467987487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467987487 |
Entity Type | Individual |
Full Name | JUDITH L. TAN |
Credential | APRN |
Practice Address |
Summerlin Hospital 657 N Town Center Dr Las Vegas NV 89144 |
Mailing Address |
3665 Hillary Elan Ct Las Vegas NV 89139-8186 |
Practice Telephone | 7022337000 |
Mailing Telephone | 7022909755 |
Mailing Fax Number | 7022024178 |
Enumeration Date | 2017-04-27 |
Last Update Date | 2019-07-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN002509 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | PENDING | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 7022337000 |
Street Address |
SUMMERLIN HOSPITAL 657 N TOWN CENTER DR |
City | LAS VEGAS |
State | NV |
Zip Code | 89144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
1598979072 | Yoana Lubenova Peteva | Pediatrics | 10105 Banburry Cross Drive, Suite 370, Las Vegas, NV 89144 | 2007-05-10 |
Find all providers in zip 89144 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
1285600502 | Tia B Hudon | Nurse Practitioner | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2006-02-27 |
1568469773 | Aloycha Li De La Roche | Nurse Practitioner | 6100 Iron Kettle St, Las Vegas, NV 89130-1065 | 2005-07-01 |
1588263248 | Makon Amazing Gifted Hands Pllc | Nurse Practitioner | 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 | 2020-10-22 |
1578171864 | Iliana Britt | Nurse Practitioner | 2968 E Russell Rd, Las Vegas, NV 89120-2453 | 2020-07-22 |
1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.