Michelle Lin D O Professional Limited Liability Company

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHELLE LIN D O PROFESSIONAL LIMITED LIABILITY COMPANY

Doing business as

My Family Doc

Practice address

3227 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3180

Phone

(702) 209-3590

Fax

(949) 404-8363

NPI assigned

Aug 6, 2019

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle I Lin, DONPI 1043668015

Title

Managing Member

Phone

(702) 209-3590

Specialties & licenses 2

Addresses

Other names 1

• My Family Doc Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Michelle I Lin, DO

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1043668015
  Medicare reassignment Care Compare group NPD Authorized official
• Glenn Barnes, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1134506793
  Medicare reassignment Care Compare group NPD
• Alyssa P Isip, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1063211332
  Medicare reassignment NPD
• Randi Taylyn Jane Morris, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1508673229
  Medicare reassignment NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1073168027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203180",
            "telephone_number": "702-209-3590",
            "fax_number": "949-404-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203180",
            "telephone_number": "702-209-3590",
            "fax_number": "949-404-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 E Flamingo Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891215068",
            "country_code": "US",
            "telephone_number": "702-209-3590",
            "fax_number": "949-404-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE LIN D O PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-209-3590",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Family Doc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Family Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thelma Jean Michel
• Vivian Brianna Michel
• Michele Alisa Dilauro MD PC
• Charles Michell
• Michelle Gravley, P.C.
• Michelle Toth
• Elizabeth Michelli
• Molly Michelman, R.D.
• Patricia Michelotti
• Tyler Scott Michels, DC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.