Individual provider Active NPI

Emilie Palabasan

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1053078063
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
NV20211999944 Issued in NV
Practice address
5410 Lindero PL
Las Vegas, NV 89119-2713
Phone
(702) 490-2282
NPI assigned
Nov 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NV20211999944 NV Primary

Addresses

Primary practice location

5410 Lindero PL
Las Vegas, NV 89119-2713

Mailing address

3055 S Nellis Blvd Apt 1106
Las Vegas, NV 89121-7703
Phone (225) 371-1230

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
NV20211999944NVMDHealth Service Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1053078063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 S NELLIS BLVD APT 1106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217703",
            "telephone_number": "225-371-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 LINDERO PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192713",
            "telephone_number": "702-490-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALABASAN",
        "first_name": "EMILIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "NV20211999944",
            "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 Nov 24, 2021; 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.