NPIMap

Organization Active NPI

Evensen and Trippi Mens Health PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1033476023
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
EVENSEN AND TRIPPI MENS HEALTH PLLC
Practice address
9499 W Charleston Blvd
Suite 270
Las Vegas, NV 89117-7150
Phone
(702) 778-5900
Fax
(702) 778-5901
NPI assigned
Apr 16, 2012
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Erik Evensen, DO
Title
Member
Phone
(702) 778-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

9499 W Charleston Blvd
Suite 270
Las Vegas, NV 89117-7150

Mailing address

9499 W Charleston Blvd
Suite: 270
Las Vegas, NV 89117-7150
Phone (702) 778-5900

National Provider Directory

National Provider Directory

Locations

2650 Lake Sahara Dr
Ste 100B
Las Vegas, NV 89117
Phone (702) 778-5900

607 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 822-7400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1033476023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD",
            "address_2": "SUITE: 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177150",
            "telephone_number": "702-778-5900",
            "fax_number": "702-778-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD",
            "address_2": "SUITE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177150",
            "telephone_number": "702-778-5900",
            "fax_number": "702-778-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENSEN AND TRIPPI MENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "EVENSEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-778-5900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.