Individual provider Active NPI

Christine Crovetti, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1073531620
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
606 Issued in NV
Practice address
9097 W Post Rd
Ste# 100
Las Vegas, NV 89148-2449
Phone
(702) 430-5333
Fax
(702) 430-5335
NPI assigned
Jul 18, 2006
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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 606 NV Primary

Addresses

Primary practice location

9097 W Post Rd
Ste# 100
Las Vegas, NV 89148-2449

Mailing address

9097 W Post Rd
Ste# 100
Las Vegas, NV 89148-2449
Phone (702) 430-5333

Other names 1

  • Christine Axton Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Dermatology CurrentSince Dec 27, 2014 Accepting new patients
Douglas a. Thomas, MD Past Accepting new patients

Locations

870 Seven Hills Dr
Ste 102
Henderson, NV 89052
Phone (702) 384-5101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1073531620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 W POST RD",
            "address_2": "STE# 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482449",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 W POST RD",
            "address_2": "STE# 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482449",
            "telephone_number": "702-430-5333",
            "fax_number": "702-430-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROVETTI",
        "first_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "AXTON",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.