Romel Clark Hines

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

5160 Tamarus St Apt 11
Las Vegas, NV 89119-1966

Phone

(312) 671-2582

NPI assigned

Apr 7, 2020

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1184253411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 TAMARUS ST APT 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891191966",
            "telephone_number": "312-671-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 TAMARUS ST APT 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891191966",
            "telephone_number": "312-671-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "ROMEL",
        "middle_name": "CLARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106484409",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "trillitycc@gmail.com",
            "affiliation": "N",
            "address_1": "5160 Tamarus St Apt 11",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891191966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marquise D Hines
• Naisha Hines
• Quentin Tyshawn Dean Hines
• Rebecca Hines
• Richard Hines
• Mark Hinkaty
• Lorell Ann Hinkel
• Tammie Hinkl
• Juwaun Hinkle, PA-C
• Ronda Hinkle

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.