Individual provider Active NPI

Tegan A Ritchey, LPM

  • Licensed Practical Nurse
  • Las Vegas, NV
National Provider Identifier
1033837851
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN18011 Issued in NV
Practice address
Nellis AFB 4700 Las Vegas Blvd
Las Vegas, NV 89191-0000
Phone
(702) 679-9557
NPI assigned
Aug 17, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN18011 NV Primary

Addresses

Primary practice location

Nellis AFB 4700 Las Vegas Blvd
Las Vegas, NV 89191-0000

Mailing address

1712 Sierra Valley Way
Las Vegas, NV 89128-3033
Phone (717) 673-3287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN18011NVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1033837851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 SIERRA VALLEY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283033",
            "telephone_number": "717-673-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NELLIS AFB 4700 LAS VEGAS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891910000",
            "telephone_number": "702-679-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHEY",
        "first_name": "TEGAN",
        "middle_name": "A",
        "credential": "LPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN18011",
            "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 Aug 17, 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.