LAS VEGAS VAMC (NPI# 1972886562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972886562 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS VAMC |
| Other Organization Name | SOUTHEAST LAS VEGAS VA CBOC |
| Practice Address |
1020 S Boulder Hwy Henderson NV 89015-8533 |
| Mailing Address |
Po Box 94408 Cleveland OH 44101-4408 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOUTHEAST LAS VEGAS VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670110 | Las Vegas Vamc | Clinic/Center | 3525 W Cheyenne Ave, North Las Vegas, NV 89032-8250 | 2016-10-14 |
| 1821374067 | Las Vegas Vamc | Clinic/Center | 4461 E Charleston Blvd, Las Vegas, NV 89104-5537 | 2011-11-02 |
| 1609159292 | Las Vegas Vamc | Clinic/Center | 3968 N Rancho Drive, Las Vegas, NV 89130-3412 | 2011-09-21 |
| 1043251770 | Las Vegas Vamc | Clinic/Center | 220 South Lola Lane, Pahrump, NV 89048-0835 | 2006-06-10 |
| 1063461853 | Las Vegas Vamc | Department of Veterans Affairs (VA) Pharmacy | 6900 N Pecos Rd., North Las Vegas, NV 89086-4400 | 2006-05-09 |
| 1104211069 | Las Vegas Vamc | Clinic/Center | 6900 Pecos Rd, N Las Vegas, NV 89086-4400 | 2015-03-30 |
| 1215339411 | Las Vegas Vamc | Clinic/Center | 3650 South Pointe Circle, Building D Suite 216, Laughlin, NV 89029-0423 | 2014-09-18 |
| 1689955429 | Las Vegas Vamc | Clinic/Center | 7235 S Buffalo Dr, Las Vegas, NV 89113-4040 | 2011-09-07 |
| 1538118989 | Las Vegas Vamc | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-05-10 |
| Street Address |
1020 S BOULDER HWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618179 | Karen Anne Lemley | Social Worker | 1020 S Boulder Hwy, Henderson, NV 89015-8533 | 2006-07-27 |
| 1891112165 | Stephen Yow Chuan Show | Psychiatry & Neurology | 1020 S Boulder Hwy, Henderson, NV 89015 | 2014-03-25 |
| 1497009666 | Svetlana Eveleigh | Nurse Practitioner | 1020 S Boulder Hwy, Henderson, NV 89015 | 2012-11-08 |
| 1396000428 | Louis Dan Luera | Psychologist | 1020 S Boulder Hwy, Henderson, NV 89015-8533 | 2012-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216618 | Reno Vamc | Clinic/Center | 1140 Selmi Dr, Reno, NV 89512-4780 | 2019-07-09 |
| 1134670110 | Las Vegas Vamc | Clinic/Center | 3525 W Cheyenne Ave, North Las Vegas, NV 89032-8250 | 2016-10-14 |
| 1164979225 | Reno Vamc | Clinic/Center | 3674 South Virginia Street, Unit E4, Reno, NV 89502-6015 | 2016-09-07 |
| 1639560600 | Reno Vamc | Clinic/Center | 3298 Traders Way, Winnemucca, NV 89445-3654 | 2015-02-12 |
| 1578954442 | Reno Vamc | Clinic/Center | 350 Capitol Hill Ave, Reno, NV 89502-2923 | 2015-02-12 |
| 1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
| 1912301102 | Reno Vamc | Clinic/Center | 1201 Corporate Boulevard, Suite 100, Reno, NV 89502-7162 | 2014-10-16 |
| 1821374067 | Las Vegas Vamc | Clinic/Center | 4461 E Charleston Blvd, Las Vegas, NV 89104-5537 | 2011-11-02 |
| 1609159292 | Las Vegas Vamc | Clinic/Center | 3968 N Rancho Drive, Las Vegas, NV 89130-3412 | 2011-09-21 |
| 1811181639 | Reno Vamc | Clinic/Center | 1020 New River Pkwy Ste 304, Fallon, NV 89406-7811 | 2007-09-05 |
| Find all providers with the same taxonomy | ||||
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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.