NPIMap

Organization Active NPI

Premise Health of Nevada Medical Hinitt P C

  • Non-Pharmacy Dispensing Site
  • Stateline, NV
National Provider Identifier
1306333604
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
PD00694 Issued in NV
Legal business name
PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
Practice address
15 Highway 50
Stateline, NV 89449
Phone
(775) 586-5000
Fax
(775) 586-5055
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Steven A Hinitt, MD
Title
President
Phone
(615) 468-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X PD00694 NV Primary

Addresses

Primary practice location

15 Highway 50
Stateline, NV 89449

Mailing address

5500 Maryland Way Ste 400
Brentwood, TN 37027-7048

Other names 1

  • Caesars Lake Tahoe Health & Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of Nevada Medical Hinitt PC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1306333604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HIGHWAY 50",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "89449",
            "telephone_number": "775-586-5000",
            "fax_number": "775-586-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF NEVADA MEDICAL HINITT P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HINITT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-468-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NV",
            "license": "PD00694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caesars Lake Tahoe Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caesars Lake Tahoe Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stateline, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.