Active NPI
Linda Hopballe
- Home Health Registered Nurse
- Las Vegas, NV
National Provider Identifier
1073343570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 874291
- Practice address
- 4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854 - Phone
- (702) 463-0300
- Fax
- (702) 460-0301
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 874291 | NV | Primary |
Addresses
Primary practice location
4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Mailing address
4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854
Phone (702) 463-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 874291 | NV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jed Adam Enterprises, LLC | Current | Accepting new patients |
Locations
4040 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 463-0300
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": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1073343570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190854",
"telephone_number": "702-463-0300",
"fax_number": "702-460-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S EASTERN AVE STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190854",
"telephone_number": "702-463-0300",
"fax_number": "702-460-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPBALLE",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NV",
"license": "874291",
"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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.