Active NPI
Ernest Paul Tinnin Jr.
- Case Manager/Care Coordinator
- Las Vegas, NV
National Provider Identifier
1366743023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3440 E Russell Rd # 211
Las Vegas, NV 89120-2201 - Phone
- (702) 646-5437
- Fax
- (702) 396-4193
- NPI assigned
- Nov 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3440 E Russell Rd # 211
Las Vegas, NV 89120-2201
Mailing address
3440 E Russell Rd # 211
Las Vegas, NV 89120-2201
Phone (702) 960-5484
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One for All LLC | Current | Accepting new patients | |
| One for All NV | Current | Accepting new patients | |
| Eagle Quest of Nevada | Past | Accepting new patients |
Locations
3440 E Russell Rd
#211
Las Vegas, NV 89120
Phone (702) 214-4254
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1174166771
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1710594437
-
- Foster Care Agency
- Las Vegas, NV
- NPI 1548553340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1366743023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 E RUSSELL RD # 211",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202201",
"telephone_number": "702-960-5484",
"fax_number": "702-214-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 E RUSSELL RD # 211",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202201",
"telephone_number": "702-646-5437",
"fax_number": "702-396-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINNIN",
"first_name": "ERNEST",
"middle_name": "PAUL",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-11",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.