NPIMap

Organization Active NPI

Southern Nevada Health District

  • Case Management Agency
  • Las Vegas, NV
National Provider Identifier
1316368673
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
RN23003 Issued in NV
Legal business name
SOUTHERN NEVADA HEALTH DISTRICT
Practice address
400 Shadow LN
Ste 208
Las Vegas, NV 89106-4363
Phone
(702) 759-0930
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Ms. Edith C Burns, REGISTERED NURSE
Title
RN Case Manager
Phone
(702) 759-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X RN23003 NV Primary

Addresses

Primary practice location

400 Shadow LN
Ste 208
Las Vegas, NV 89106-4363

Mailing address

400 Shadow LN
Ste 208
Las Vegas, NV 89106-4363
Phone (702) 759-0930

Other identifiers 2

IdentifierTypeStateIssuer
RN23003MedicaidNV
163WC1500XMedicaidNV

National Provider Directory

National Provider Directory

Locations

400 Shadow Ln
Ste 208
Las Vegas, NV 89106
Phone (702) 759-0918

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1316368673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "address_2": "STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-759-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "address_2": "STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-759-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "RN CASE MANAGER",
        "authorized_official_telephone_number": "702-759-0930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": "RN23003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN23003",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WC1500X",
            "state": "NV"
        }
    ],
    "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 Jan 3, 2014; 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.