Active NPI
Teresa Marie Hartz, APRN
- Family Nurse Practitioner
- North Las Vegas, NV
National Provider Identifier
1275542946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN001190
- Practice address
- 1815 E Lake Mead Blvd
Suite 100
North Las Vegas, NV 89030-7187 - Phone
- (702) 657-1503
- Fax
- (702) 657-1583
- NPI assigned
- Aug 5, 2006
- Last updated
- Jun 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN001190 | NV | Primary |
Addresses
Primary practice location
1815 E Lake Mead Blvd
Suite 100
North Las Vegas, NV 89030-7187
Mailing address
1815 E Lake Mead Blvd
Suite 100
North Las Vegas, NV 89030-7187
Phone (702) 657-1503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001190 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Vega MD, Inc | Past | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1275542946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 E LAKE MEAD BLVD",
"address_2": "SUITE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307187",
"telephone_number": "702-657-1503",
"fax_number": "702-657-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E LAKE MEAD BLVD",
"address_2": "SUITE 100",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307187",
"telephone_number": "702-657-1503",
"fax_number": "702-657-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZ",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN001190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.