Organization Active NPI

Sapphire Medical Group Inc

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1215526462
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SAPPHIRE MEDICAL GROUP INC
Practice address
3650 S Eastern Ave Ste 330
Las Vegas, NV 89169-3345
Phone
(702) 767-7180
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Avery Christiansen
Title
President
Phone
(702) 767-7180

Specialties & licenses 1

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

Addresses

Primary practice location

3650 S Eastern Ave Ste 330
Las Vegas, NV 89169-3345

Mailing address

3650 S Eastern Ave Ste 330
Las Vegas, NV 89169-3345
Phone (702) 767-7180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1215526462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-767-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-767-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-767-7180"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 12, 2021; 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.