Organization Active NPI

Sky Pointe Healthcare LTD

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1336382894
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA742 Issued in NV
Legal business name
SKY POINTE HEALTHCARE LTD
Practice address
6151 Vegas Dr
Las Vegas, NV 89108-2593
Phone
(702) 526-3811
NPI assigned
Apr 14, 2009
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Tammy D Roe, PA - CNPI 1164495651
Title
Owner
Phone
(702) 860-9179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA742 NV Primary

Addresses

Primary practice location

6151 Vegas Dr
Las Vegas, NV 89108-2593

Mailing address

7817 Lonesome Harbor Ave
Las Vegas, NV 89131-5002
Phone (702) 526-3811

Other practice location 1

6578 N Decatur Blvd Ste 138
Las Vegas, NV 89131-1036
Phone (702) 526-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140604002494 NV Part B Supplier - Clinic/Group Practice 8022232446 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6440 Sky Pointe Dr
Ste 140148
Las Vegas, NV 89131

6578 N Decatur Blvd
Ste 100
Las Vegas, NV 89131
Phone (702) 526-3811

6578 N Decatur Blvd
Ste 138
Las Vegas, NV 89131
Phone (702) 526-3811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1336382894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 LONESOME HARBOR AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891315002",
            "telephone_number": "702-526-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 VEGAS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082593",
            "telephone_number": "702-526-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6578 N Decatur Blvd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891311036",
            "country_code": "US",
            "telephone_number": "702-526-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKY POINTE HEALTHCARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-860-9179",
        "authorized_official_credential": "PA - C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA742",
            "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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.