Individual provider Active NPI

Sneha Vinod Philip Thomas, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1235657149
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN002650 Issued in NV
Practice address
4550 E Charleston Blvd
Las Vegas, NV 89104-5525
Phone
(702) 623-8810
Fax
(702) 667-6742
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN002650 NV
Primary Care Nurse Practitioner 363LP2300X APRN002650 NV Primary

Addresses

Primary practice location

4550 E Charleston Blvd
Las Vegas, NV 89104-5525

Mailing address

5559 Hawley CT
Las Vegas, NV 89118-1856
Phone (702) 871-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180115000423 NV Practitioner - Nurse Practitioner 6800155052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Medical Centers of Nevada IncGroup PAC ID 4587716964, 7 clinicians
Zion Medical Group LLCGroup PAC ID 2062799067, 2 clinicians

Practice addresses (Care Compare)

4161 S Eastern Ave
Suite B3
Las Vegas, NV 89119-5483
Phone (702) 693-6222

7465 W Lake Mead Blvd
Suite 100
Las Vegas, NV 89128-1033
Phone (702) 560-4900

Hospital & facility affiliations

  • Caring Hearts Home Health, LLC Home health agency, Las Vegas, NV, CCN 297331
  • First Access Healthcare Providers, Inc Home health agency, Las Vegas, NV, CCN 297214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002650NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Medical Group LLC Primary Care CurrentSince Nov 13, 2017 Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

9310 S Eastern Ave
Ste 123
Las Vegas, NV 89123
Phone (702) 693-6222

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

7465 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89128
Phone (702) 560-4900

7465 W Lake Mead Blvd
Ste E100
Las Vegas, NV 89128

Organizations & group practices 2

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 2

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1235657149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 HAWLEY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181856",
            "telephone_number": "702-871-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045525",
            "telephone_number": "702-623-8810",
            "fax_number": "702-667-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SNEHA",
        "middle_name": "VINOD PHILIP",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002650",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN002650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.