Individual provider Active NPI

John-Henry David Lambin, MEDICAL STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Carson City, NV
National Provider Identifier
1306428339
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1501 Bolero Dr
Carson City, NV 89703-2312
Phone
(775) 781-2534
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NV Primary

Addresses

Primary practice location

1501 Bolero Dr
Carson City, NV 89703-2312

Mailing address

1501 Bolero Dr
Carson City, NV 89703-2312

Other identifiers 1

IdentifierTypeStateIssuer
W260964217OtherNVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830004347 LA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 9638532104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1306428339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BOLERO DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BOLERO DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032312",
            "telephone_number": "775-781-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBIN",
        "first_name": "JOHN-HENRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MEDICAL STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W260964217",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.