Tina Bird, CNA
Individual provider Active NPI Nurse's Aide · Laughlin, NV
NPI 1245077759 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1245077759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 873365 (NV)
- Practice address
- 3100 S Needles Hwy Ste 600
Laughlin, NV 89029-0815 - Phone
- (702) 868-1400
- Fax
- (888) 572-2145
- NPI assigned
- Jul 11, 2024
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873365 | NV | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Nevada LLC | Current |
Accepting new patients | |
| Canyon Nevada LLC | Past |
Accepting new patients |
Locations
3100 S Needles Hwy
Ste 600
Laughlin, NV 89029
Phone (702) 868-1400
746 E Winchester St
Ste 200
Salt Lake City, UT 84107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 873365 | NV | Yes |
Addresses
Primary practice location
3100 S Needles Hwy Ste 600
Laughlin, NV 89029-0815
Mailing address
746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166
Other providers in Laughlin, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.