Individual provider Active NPI

Veronica C Callier, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1053303610
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA638 Issued in NV
Practice address
1111 Shadow LN
Las Vegas, NV 89102-2314
Phone
(702) 383-4040
Fax
(702) 383-0526
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA638 NV Primary

Addresses

Primary practice location

1111 Shadow LN
Las Vegas, NV 89102-2314

Mailing address

1111 Shadow LN
Las Vegas, NV 89102-2314
Phone (702) 383-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vcallier60601@direct.umcsn.com
  • Direct secure messaging: veronica.callier.2@30569.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053303610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022314",
            "telephone_number": "702-383-4040",
            "fax_number": "702-383-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022314",
            "telephone_number": "702-383-4040",
            "fax_number": "702-383-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIER",
        "first_name": "VERONICA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.