Jhouleen Angelika Tam Tiamzon

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN833202 Issued in NV

Practice address

1294 S Jones Blvd
Las Vegas, NV 89146-7341

Phone

(702) 877-1887

Fax

(702) 877-4536

NPI assigned

Sep 15, 2020

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nephrology and Endocrine Associates IncGroup PAC ID 2961499322, 64 clinicians

Faith Medical Clinic LLCGroup PAC ID 7315352929, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jhouleen.tiamzon@direct.davitaphysiciansolutions.com

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.

• Faith Medical Clinic, LLC.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1700485083

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nephrology & Endocrine Associates Inc

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1801886700

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nephrology & Endocrine Associates Inc

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1689175333
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boulder City Hospital Inc

  • Critical Access Hospital
  • Boulder City, NV
  • NPI 1881739613
  Care Compare affiliation

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306451471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891467341",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891467341",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAMZON",
        "first_name": "JHOULEEN ANGELIKA",
        "middle_name": "TAM",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "RN833202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306451471",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neelesh Thussu, M.D.
• Michael Thwing
• Chellron Thymes
• Thyroid & Diabetes Specialists of Las Vegas, Nakhle, M.D., PLLC (Thyroid & Diabetes Specialists of Las Vegas)
• Tia B Hudon PC
• Chaorui Tian, M.D., PH.D.
• Jiaxin Tian
• Melissa Yuan Tian
• Sisi Tian, M.D.
• Yu Tian, M.D.

• Gerontology Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.