Organization Active NPI

Evolution Healthcare

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194564153
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EVOLUTION HEALTHCARE
Doing business as
Shine by Sheree
Practice address
3850 W Desert Inn Rd Ste 108
Las Vegas, NV 89102-8365
Phone
(702) 908-1719
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Sheree Thornton, NPNPI 1992246938
Title
Owner
Phone
(702) 908-1719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3850 W Desert Inn Rd Ste 108
Las Vegas, NV 89102-8365

Mailing address

3850 W Desert Inn Rd Ste 108
Las Vegas, NV 89102-8365

Other names 1

  • Shine by Sheree Doing business as

National Provider Directory

National Provider Directory

Locations

3850 W Desert Inn Rd
Ste 108
Las Vegas, NV 89102
Phone (702) 908-1719

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1194564153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 W DESERT INN RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W DESERT INN RD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028365",
            "telephone_number": "702-908-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-908-1719",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine by Sheree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2024; 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.