Health Core Medical Group LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HEALTH CORE MEDICAL GROUP LLC

Practice address

1745 N Nellis Blvd Ste a
Las Vegas, NV 89115-3673

Phone

(424) 200-3333

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Francesca Mephors, APRN

Title

Provider

Phone

(424) 200-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1346816907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N NELLIS BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153673",
            "telephone_number": "424-200-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N NELLIS BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153673",
            "telephone_number": "424-200-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CORE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "MEPHORS",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "424-200-3333",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837424",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clark",
            "affiliation": "N",
            "endpointDescription": "Henderson",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1745 N Nellis Blvd Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891153673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.