Individual provider Active NPI

Sheree Anntionette Rolling, LPN

  • Licensed Practical Nurse
  • Las Vegas, NV
National Provider Identifier
1306636634
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
861216 Issued in NV
Practice address
6080 S Fort Apache Rd Ste 105
Las Vegas, NV 89148-5616
Phone
(702) 703-5848
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 861216 NV Primary

Addresses

Primary practice location

6080 S Fort Apache Rd Ste 105
Las Vegas, NV 89148-5616

Mailing address

9350 S Cimarron Rd Unit 3090
Las Vegas, NV 89178-2536
Phone (480) 296-8494

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
861216NVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Hills Comprehensive Treatment Center Current Accepting new patients

Locations

6080 S Fort Apache Rd
Ste 105
Las Vegas, NV 89148
Phone (702) 384-1962

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1306636634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S CIMARRON RD UNIT 3090",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782536",
            "telephone_number": "480-296-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485616",
            "telephone_number": "702-703-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLING",
        "first_name": "SHEREE",
        "middle_name": "ANNTIONETTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "861216",
            "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 May 9, 2025; 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.