Active NPI
Jissy Thomas
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002479
- Practice address
- 7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577 - Phone
- (702) 304-2144
- NPI assigned
- Mar 31, 2017
- Last updated
- Aug 15, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002479 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN002479 | NV | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN002479 | NV |
Addresses
Primary practice location
7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577
Mailing address
7391 W Charleston Blvd.
Suite 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 877-8898
5650 S Rainbow Blvd
Las Vegas, NV 89118-1808
Phone (702) 470-1102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002479 | NV | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Post-Acute Medical Services-Scherr 1 PC | Current | Accepting new patients | |
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Nevada Acute Medical Services-Scherr 1 PC | Current | Accepting new patients |
Locations
10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200
1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570
2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200
2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684
5650 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 470-1102
6166 N Durango Dr
Las Vegas, NV 89149
Phone (702) 202-4534
6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555
7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1992244438
-
- Hospitalist Physician
- North Las Vegas, NV
- NPI 1033658331
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1427534809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1184156838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7391 W CHARLESTON BLVD.",
"address_2": "SUITE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171577",
"telephone_number": "702-304-2144",
"fax_number": "702-304-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7391 W CHARLESTON BLVD STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891171577",
"telephone_number": "702-304-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JISSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002479",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002479",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "APRN002479",
"primary": false
}
],
"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 15, 2017; 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.