NPIMap

Individual provider Active NPI

Dragana Tomic

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194350371
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
834347 Issued in NV
Practice address
5380 S Rainbow Blvd
Las Vegas, NV 89118-1877
Phone
(725) 333-8465
Fax
(725) 333-8466
NPI assigned
Mar 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN57306 NV
Acute Care Nurse Practitioner 363LA2100X 834347 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd
Las Vegas, NV 89118-1877

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (725) 333-8465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000981 NV Practitioner - Nurse Practitioner 1456770577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN57306NVMDCritical Care Medicine Registered Nurse
834347NVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jun 1, 2023 Accepting new patients
Las Vegas Medical Group LLC CurrentSince Nov 2, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jun 1, 2023 Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5380 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 382-6100

2345 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 352-5301

Interoperability endpoints

  • Direct secure messaging: dtomic118494@direct.umcsn.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1194350371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "725-333-8465",
            "fax_number": "725-333-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "725-333-8465",
            "fax_number": "725-333-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMIC",
        "first_name": "DRAGANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "RN57306",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "834347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.