Organization Active NPI

Roundhill Health LLC

  • Family Nurse Practitioner
  • South Lake Tahoe, CA
National Provider Identifier
1013665801
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ROUNDHILL HEALTH LLC
Practice address
1955 High Meadow TRL
South Lake Tahoe, CA 96150-6840
Phone
(916) 837-4498
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria Michele Shimizu, NP
Title
Owner
Phone
(916) 837-4498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1955 High Meadow TRL
South Lake Tahoe, CA 96150-6840

Mailing address

195 Highway 50 # 104
Stateline, NV 89449-9816
Phone (530) 721-8899

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.roundhillhealth.com Direct

National Provider Directory

National Provider Directory

Locations

5470 Kietzke Ln
Ste 300
Reno, NV 89511
Phone (775) 338-7099

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1013665801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 HIGHWAY 50 # 104",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894499816",
            "telephone_number": "530-721-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 HIGH MEADOW TRL",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506840",
            "telephone_number": "916-837-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDHILL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "SHIMIZU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-837-4498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.roundhillhealth.com",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1955 High Meadow Trl",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961506840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.