Heather Poulos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2161 Issued in NV

Practice address

2225 Civic Center Dr Ste 224
North Las Vegas, NV 89030-6332

Phone

(702) 214-5948

Fax

(702) 214-9439

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpoulos730511@direct.ochin.org

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.

• Nevada Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Carson City, NV
  • NPI 1679649487
  Medicare reassignment
• Nevada Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Carson City, NV
  • NPI 1265519813
  NPD
• Nevada Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Pahrump, NV
  • NPI 1326872334
  NPD
• Nevada Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Elko, NV
  • NPI 1073690616
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1144889502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CAMBRIDGE ST STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197440",
            "telephone_number": "702-307-5414",
            "fax_number": "702-307-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CIVIC CENTER DR STE 224",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306332",
            "telephone_number": "702-214-5948",
            "fax_number": "702-214-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOS",
        "first_name": "HEATHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Change Outsources LLC
• Janice Lynn Postlewaite, LCSW
• Theodore Potruch, MD
• Anthony Potts
• Howard Edwin Potts
• Kenyetta Pounds
• Pouya Momtaz DMD PLLC
• Cleveland Powe IV
• Amy Powell
• Brady Powell, PT, DPT

• Physician Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.