Theresa Marcos, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2425 N Lamb Blvd Ste 120
Las Vegas, NV 89115-5499

Phone

(702) 940-8007

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Nevada Sports and Spine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1720480510

  NV

  Medicare reassignment
• Andrew Hall MD PLLC

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1588121941
  NPD (past)
• Battle-Born Psychological Services, LLC

  • Clinical Psychologist
  • North Las Vegas, NV
  • NPI 1912377482
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1356883151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400670",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400670",
            "fax_number": "702-832-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N LAMB BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891155499",
            "telephone_number": "702-940-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6064 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485350",
            "country_code": "US",
            "telephone_number": "702-940-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "THERESA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506505",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul Marcolette
• Laurie Marconi
• Jay Michael Marcos
• Lauren Elizabeth Marcos, DO
• Mariel R Marcos
• Carlito Villegas Marcoso
• Carlos Gregorio Marcoso
• Katia Marcu
• Krista Marcucci
• Athena Marcus Calhoun

• All providers in Las Vegas, NV
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.