Active NPI
Roundhill Health LLC
- Family Nurse Practitioner
- South Lake Tahoe, CA
National Provider Identifier
1013665801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.roundhillhealth.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.