Nevada Southern Detention Center

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

Legal business name

NEVADA SOUTHERN DETENTION CENTER

Practice address

2190 E Mesquite Ave
Pahrump, NV 89060-3427

Phone

(775) 751-4500

NPI assigned

Apr 5, 2023

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Renee Thompson, NPNPI 1154893881

Title

Owner

Phone

(928) 201-2035

Specialties & licenses 1

Addresses

Other names 1

• Corecivic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley Renee Thompson, AGNP

  • Gerontology Nurse Practitioner
  • Pahrump, NV
  • NPI 1154893881
  NPD Authorized official
• Joshua Alan Weiberg, PSYD

  • Clinical Psychologist
  • Pahrump, NV
  • NPI 1598349045
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1194410332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485693",
            "telephone_number": "928-201-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 E MESQUITE AVE",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890603427",
            "telephone_number": "775-751-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA SOUTHERN DETENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-201-2035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corecivic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nevada CVS Pharmacy LLC (CVS Pharmacy #08789)
• Nevada Em-I Silver-Homansky Medical Services Professional Corporation
• Nevada Health Centers, Inc (Pahrump Family Health Center)
• Nevada Orthotics & Prosthetics Inc
• Nevada Sleep Diagnostics, Inc.
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• Nevada State Health Division/Far Nursin (Frontier and Rural Public Health)
• New Perspectives Behavioral Health LLC
• Nextgen Healthcare Solutions
• Justin NG, OD

• Prison Health Clinic/Center in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Prison Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.