Active NPI
Healthline Essentials LLC
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1295254241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002311
- Legal business name
- HEALTHLINE ESSENTIALS LLC
- Practice address
- 8905 Evening Star Dr
Las Vegas, NV 89134-8806 - Phone
- (210) 459-6514
- Fax
- (702) 453-7005
- NPI assigned
- Sep 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Collis Valdez Lacy, APRN
- Title
- Practioner-Owner
- Phone
- (210) 459-6514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002311 | NV | Primary |
Addresses
Primary practice location
8905 Evening Star Dr
Las Vegas, NV 89134-8806
Mailing address
8905 Evening Star Dr
Las Vegas, NV 89134-8806
Phone (210) 459-6514
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1295254241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8905 EVENING STAR DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891348806",
"telephone_number": "210-459-6514",
"fax_number": "702-453-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8905 EVENING STAR DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891348806",
"telephone_number": "210-459-6514",
"fax_number": "702-453-7005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHLINE ESSENTIALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LACY",
"authorized_official_first_name": "JOHN COLLIS",
"authorized_official_middle_name": "VALDEZ",
"authorized_official_title_or_position": "PRACTIONER-OWNER",
"authorized_official_telephone_number": "210-459-6514",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002311",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.