Individual provider Active NPI

Vernice E Ollano, LAT, ATC

  • Athletic Trainer
  • Henderson, NV
National Provider Identifier
1174032049
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0506470 Issued in NV
Practice address
3700 Liberty Heights Ave
Henderson, NV 89052-8612
Phone
(702) 799-2270
NPI assigned
Sep 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0506470 NV Primary

Addresses

Primary practice location

3700 Liberty Heights Ave
Henderson, NV 89052-8612

Mailing address

1725 Autumn Sage Ave
North Las Vegas, NV 89031-1843
Phone (702) 553-7025

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

LicenseStateTypeSpecialty
0506470NVMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1174032049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 AUTUMN SAGE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311843",
            "telephone_number": "702-553-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LIBERTY HEIGHTS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528612",
            "telephone_number": "702-799-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLANO",
        "first_name": "VERNICE",
        "middle_name": "E",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.